{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:12:01Z","timestamp":1787019121883,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T00:00:00Z","timestamp":1675382400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background \/ Objectives<\/jats:title>\n                    <jats:p>Utilisation of ISBCS has been encouraged since COVID-19 in line with the RCOphth recommendations. This study aims to share experience from a UK teaching hospital on ISBCS and to evaluate pre-, intra- and post-operative outcomes from the ISBCS cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Of 3402 cataract surgeries performed between July 2020 and July 2021 (1 year since the reopening of the cataract service from COVID-19), 208 eyes of 104 patients (6.1%) undergoing ISBCS were retrospectively studied on their demographics, biometry, surgeon grades, and pre-, intra- and post-operative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age was 74.5\u2009\u00b1\u20099.4 years and 62% were female. Eighty-nine percent of the eyes were performed under local anaesthesia and 70% were \u2018routine\u2019 cases. Other risk factors included: short eyes requiring pre-operative mannitol infusion (10%), high myopia (8%), poor dilation (2%) and a \u2018glaucoma\u2019 cohort [angle closure (2%) and prior trabeculectomy (1%)]. Three eyes (1%) had complications intra-operatively in second eye (1 case each: posterior capsule rupture, corneal oedema and zonular dehiscence). Two patients (1%) had complications in the first eye (1 case each: suprachoroidal haemorrhage, conjunctival &amp; iris haemorrhage), hence had their second eye postponed. Twelve months post-operatively, 20 eyes (10%) had recorded post-op complications with cystoid macular oedema being the commonest (4.5%) and no endophthalmitis. Eighty-six percent were discharged with satisfaction. No significant differences were found in pre-operative features, complication rates and post-operative outcomes between consultant and non-consultant surgeons (p\u2009&gt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our experience which included a cohort of high-risk patients showed safe and successful practice of ISBCS without having a negative impact on training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721231154609","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T03:04:39Z","timestamp":1675393479000},"page":"1959-1968","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Practice of immediate sequential bilateral cataract surgery (ISBCS): A teaching hospital experience in United Kingdom"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8387-8577","authenticated-orcid":false,"given":"Haoyu","family":"Wang","sequence":"first","affiliation":[{"name":"Ophthalmology Department, Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vipul","family":"Ramjiani","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Auger","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew","family":"Raynor","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zanna","family":"Currie","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Tan","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,3]]},"reference":[{"key":"bibr1-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000750"},{"key":"bibr2-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.01.019"},{"key":"bibr3-11206721231154609","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_947_16"},{"key":"bibr4-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6702989"},{"key":"bibr5-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2021.09.016"},{"key":"bibr6-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1136\/bmjophth-2019-000426"},{"key":"bibr7-11206721231154609","author":"Sandhu S","year":"2022","journal-title":"Can J Ophthalmol"},{"key":"bibr8-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-020-01475-0"},{"key":"bibr9-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-021-01521-1"},{"key":"bibr10-11206721231154609","unstructured":"Immediate Sequential Bilateral Cataract Surgery (ISBCS) during COVID recovery: RCOphth\/UKISCRS rapid advice document."},{"key":"bibr11-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14659"},{"key":"bibr12-11206721231154609","first-page":"1866","volume":"34","author":"Buchan JC","year":"2020","journal-title":"Eye (Basingstoke)"},{"key":"bibr13-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-021-01548-4"},{"key":"bibr14-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1136\/bmjophth-2020-000554"},{"key":"bibr15-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.01.075"},{"key":"bibr16-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0131857"},{"key":"bibr17-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1136\/bmjophth-2019-000426"},{"key":"bibr18-11206721231154609","unstructured":"Moorfields Eye Hospital. Standard operating procedure for immediate sequential bilateral cataract surgery, Moorfields Eye Hospital [Internet]. Available from: https:\/\/iolsolver.com."},{"key":"bibr19-11206721231154609","unstructured":"Eye Foundation of Canada. iSBCS General Principles for Excellence in ISBCS2009."},{"key":"bibr20-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.01.029"},{"key":"bibr21-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2021.07.007"},{"key":"bibr22-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2017.03.034"},{"key":"bibr23-11206721231154609","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_226_21"},{"key":"bibr24-11206721231154609","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2020-106412"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721231154609","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721231154609","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721231154609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:44:49Z","timestamp":1777405489000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/11206721231154609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,3]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/11206721231154609"],"URL":"https:\/\/doi.org\/10.1177\/11206721231154609","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,3]]}}}