Safety of deferring review after uneventful cataract surgery until 2 weeks postoperatively

Line Kessel; Jens Andresen; Ditte Erngaard; Per Flesner; Britta Tendal; Jesper Hjortdal

doi:10.1016/j.jcrs.2015.11.010

Safety of deferring review after uneventful cataract surgery until 2 weeks postoperatively

Line Kessel, Jens Andresen, Ditte Erngaard, Per Flesner, Britta Tendal, Jesper Hjortdal

Department of Ophthalmology

28 Citations (Scopus)

Abstract

UNLABELLED: We conducted a systematic review and metaanalysis to provide evidence-based recommendations on the value of early postoperative review. We identified 3 randomized controlled trials (RCTs) that compared patients seen on the first postoperative day with those reviewed at 2 weeks; the 3 studies comprised 886 patients. The risk for postoperative complications was lower when review was deferred 2 weeks because of early transient pressure spikes. There was no difference in the number of unscheduled visits during the first 2 weeks postoperatively or the visual acuity at follow-up. No safety was gained by reviewing patients on the first postoperative day, and we recommend that routine early postoperative control can be omitted in nonglaucomatous patients after uneventful surgery if symptomatic patients are seen by an ophthalmologist as needed.

FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.

Original language	English
Journal	Journal of Cataract & Refractive Surgery
Volume	41
Issue number	12
Pages (from-to)	2755-64
Number of pages	10
ISSN	0886-3350
DOIs	https://doi.org/10.1016/j.jcrs.2015.11.010
Publication status	Published - Dec 2015

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title = "Safety of deferring review after uneventful cataract surgery until 2 weeks postoperatively",

abstract = "UNLABELLED: We conducted a systematic review and metaanalysis to provide evidence-based recommendations on the value of early postoperative review. We identified 3 randomized controlled trials (RCTs) that compared patients seen on the first postoperative day with those reviewed at 2 weeks; the 3 studies comprised 886 patients. The risk for postoperative complications was lower when review was deferred 2 weeks because of early transient pressure spikes. There was no difference in the number of unscheduled visits during the first 2 weeks postoperatively or the visual acuity at follow-up. No safety was gained by reviewing patients on the first postoperative day, and we recommend that routine early postoperative control can be omitted in nonglaucomatous patients after uneventful surgery if symptomatic patients are seen by an ophthalmologist as needed.FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.",

author = "Line Kessel and Jens Andresen and Ditte Erngaard and Per Flesner and Britta Tendal and Jesper Hjortdal",

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T1 - Safety of deferring review after uneventful cataract surgery until 2 weeks postoperatively

AU - Kessel, Line

AU - Andresen, Jens

AU - Erngaard, Ditte

AU - Flesner, Per

AU - Tendal, Britta

AU - Hjortdal, Jesper

PY - 2015/12

Y1 - 2015/12

N2 - UNLABELLED: We conducted a systematic review and metaanalysis to provide evidence-based recommendations on the value of early postoperative review. We identified 3 randomized controlled trials (RCTs) that compared patients seen on the first postoperative day with those reviewed at 2 weeks; the 3 studies comprised 886 patients. The risk for postoperative complications was lower when review was deferred 2 weeks because of early transient pressure spikes. There was no difference in the number of unscheduled visits during the first 2 weeks postoperatively or the visual acuity at follow-up. No safety was gained by reviewing patients on the first postoperative day, and we recommend that routine early postoperative control can be omitted in nonglaucomatous patients after uneventful surgery if symptomatic patients are seen by an ophthalmologist as needed.FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.

AB - UNLABELLED: We conducted a systematic review and metaanalysis to provide evidence-based recommendations on the value of early postoperative review. We identified 3 randomized controlled trials (RCTs) that compared patients seen on the first postoperative day with those reviewed at 2 weeks; the 3 studies comprised 886 patients. The risk for postoperative complications was lower when review was deferred 2 weeks because of early transient pressure spikes. There was no difference in the number of unscheduled visits during the first 2 weeks postoperatively or the visual acuity at follow-up. No safety was gained by reviewing patients on the first postoperative day, and we recommend that routine early postoperative control can be omitted in nonglaucomatous patients after uneventful surgery if symptomatic patients are seen by an ophthalmologist as needed.FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.

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DO - 10.1016/j.jcrs.2015.11.010

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Safety of deferring review after uneventful cataract surgery until 2 weeks postoperatively

Abstract

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