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

机译:顺利进行白内障手术后推迟至手术后2周复查的安全性

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摘要

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.
机译:我们进行了系统的回顾和荟萃分析,为术后早期回顾的价值提供基于证据的建议。我们确定了3项随机对照试验(RCT),它们将术后第一天的患者与2周时复查的患者进行了比较。 3项研究共计886例患者。由于早期短暂的压力峰值,推迟复查2周后,发生术后并发症的风险较低。术后前两周的计划外访视次数或随访时的视敏度无差异。术后第一天复查患者并没有获得安全性,我们建议,如果需要眼科医师对有症状的患者进行观察,则在无畸形手术后的非青光眼患者中,可以省略常规的早期术后控制。

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