{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:21:44Z","timestamp":1787840504778,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      We sought to streamline cataract surgery post-operative care when COVID-19 hit by discontinuing the 1-day post-operative visit. We wanted to know if this change was safe and beneficial to our patients by reducing patients\u2019 time and transportation burden, opening appointment slots allowing providers to see more patients and reducing greenhouse gas emissions. By minimising intraoperative use of dispersive viscoelastic, increasing irrigation\/aspiration time at the end of the surgery and using intraocular pressure (IOP) lowering medications such as carbachol, brimonidine and acetazolamide routinely, we posit that post-operative day 1 IOP spikes can be avoided, thereby eliminating the need for the 1\n                      <jats:sup>st<\/jats:sup>\n                      post-operative day visit. We also sought to show the positive environmental impact of eliminating that 1\n                      <jats:sup>st<\/jats:sup>\n                      day.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed cataract surgeries performed before COVID-19 to determine the incidence of serious pathology discovered at the post-operative day 1 visit. Subsequently, we examined all the cataract surgeries performed in 2023 by our practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred and ninety-three cataract surgeries performed before COVID-19 and 832 performed in 2023 were reviewed. We found that the post-operative day 1 visit after cataract surgery is unnecessary in most routine uncomplicated cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>By eliminating hundreds of post-operative day 1 visits for a busy rural practice annually, patients, their friends and relatives are spared an extra trip to the office (that can be 100 km each way), the office schedule is open to accommodate more patients, and the patients\u2019 carbon footprint of travel to the office is reduced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Nous avons cherch\u00e9 \u00e0 rationaliser les soins postop\u00e9ratoires de la chirurgie de la cataracte lors de l\u2019arriv\u00e9e de la Covid en supprimant la visite postop\u00e9ratoire d\u2019un jour. Nous voulions savoir si ce changement \u00e9tait s\u00e9curitaire et b\u00e9n\u00e9fique pour nos patients en r\u00e9duisant le temps et la charge de transport des patients, en ouvrant des cr\u00e9neaux de rendez-vous permettant aux prestataires de voir plus de patients et en r\u00e9duisant les \u00e9missions de gaz \u00e0 effet de serre. En minimisant l\u2019utilisation perop\u00e9ratoire de visco\u00e9lastique dispersif, en augmentant le temps d\u2019irrigation\/aspiration \u00e0 la fin de l\u2019op\u00e9ration et en utilisant syst\u00e9matiquement des m\u00e9dicaments abaissant la PIO, tels que le carbachol, la brimonidine et l\u2019ac\u00e9tazolamide, nous pensons que les PIO postop\u00e9ratoire du premier jour peuvent \u00eatre \u00e9vit\u00e9es, \u00e9liminant ainsi la n\u00e9cessit\u00e9 d\u2019une premi\u00e8re visite de jour postop\u00e9ratoire. Nous avons \u00e9galement cherch\u00e9 \u00e0 d\u00e9montrer l\u2019impact environnemental positif de l\u2019\u00e9limination de ce premier jour.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9thodes:<\/jats:title>\n                    <jats:p>Nous avons examin\u00e9 r\u00e9trospectivement op\u00e9rations de la cataracte r\u00e9alis\u00e9es avant la Covid afin de d\u00e9terminer l\u2019incidence des pathologies graves d\u00e9couvertes lors de la visite postop\u00e9ratoire du premier jour. Par la suite, nous avons examin\u00e9 toutes les op\u00e9rations de la cataracte r\u00e9alis\u00e9es en 2023 par notre cabinet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>R\u00e9sultats:<\/jats:title>\n                    <jats:p>193 op\u00e9rations de la cataracte r\u00e9alis\u00e9es avant la Covid et 832 r\u00e9alis\u00e9es en 2023 ont \u00e9t\u00e9 examin\u00e9es. Nous avons constat\u00e9 que la visite postop\u00e9ratoire du premier jour apr\u00e8s la chirurgie de la cataracte n\u2019est pas n\u00e9cessaire dans la plupart des cas de routine sans complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>En \u00e9liminant des centaines de visites postop\u00e9ratoires du premier jour dans une r\u00e9gion rural, les patients, leurs amis et leurs proches n\u2019ont pas \u00e0 SE rendre au cabinet (ce qui peut repr\u00e9senter des centaines de kilom\u00e8tres aller-retour). L\u2019emploi du temps du cabinet est lib\u00e9r\u00e9 pour accueillir davantage de patients et l\u2019empreinte carbone des patients li\u00e9e \u00e0 leur d\u00e9placement au cabinet est r\u00e9duite.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/cjrm.cjrm_14_24","type":"journal-article","created":{"date-parts":[[2024,11,9]],"date-time":"2024-11-09T02:00:14Z","timestamp":1731117614000},"page":"173-176","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Advantages of eliminating the cataract surgery post-operative day 1 appointment in a rural practice"],"prefix":"10.4103","volume":"29","author":[{"given":"Gavin","family":"Bahadur","sequence":"first","affiliation":[{"name":"Stein Eye Center Santa Monica, Stein Eye Institute, University of California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Crew and Boss Eye Associates, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Stein Eye Institute, University of California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Boxrud","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Stein Eye Institute, University of California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Crew","sequence":"additional","affiliation":[{"name":"Crew and Boss Eye Associates, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"R1-20250110"},{"key":"R2-20250110","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1007\/s00417-018-04210-0","article-title":"Do we need day-1 postoperative follow-up after cataract surgery?","volume":"257","author":"Grzybowski","year":"2019","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"R3-20250110","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/j.jcrs.2007.05.022","article-title":"Deferral of first review after uneventful phacoemulsification cataract surgery until 2 weeks:Randomized controlled study","volume":"33","author":"Saeed","year":"2007","journal-title":"J Cataract Refract Surg"},{"key":"R4-20250110","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1136\/bjo.87.11.1350","article-title":"Is visual outcome compromised when next day review is omitted after phacoemulsification 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Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/cjrm.cjrm_14_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:24:05Z","timestamp":1787837045000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/cjrm.cjrm_14_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/cjrm.cjrm_14_24","relation":{},"ISSN":["1203-7796","1488-237X"],"issn-type":[{"value":"1203-7796","type":"print"},{"value":"1488-237X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-03-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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