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Simultaneous bioptics reduces surgeries

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SAN FRANCISCO — Patients who have simultaneous bioptics implantations may avoid second surgeries in most cases, Roberto Zaldivar, MD, said.

Dr. Zaldivar spoke at the American Society of Cataract and Refractive Surgery here about simultaneous bioptics. He said success in simultaneous bioptics is reliant on clean patient iridectomies, accurate white-to-white measurements and skillful technique procedures. Dr. Zaldivar added that simultaneous bioptics implantations are painless for the patients.

He conducted a study of sequential bioptics on 59 eyes, with follow-up on day 1 and at 1 month. With the sequential bioptics, he said patients have better initial visual acuity.

“I have had great patient satisfaction,” he said.

Potential disadvantages of simultaneous bioptics are a longer surgical procedure, complicated calculations and a higher possibility of complications because the patient is undergoing two surgeries. There is also a possibility of residual refractive defects, he said.