Safe and Effective Simultaneous Cataract Surgery on Both Eyes Supported by Recent Studies

Recent research presented at the 43rd Congress of the European Society of Cataract and Refractive Surgeons provides strong evidence that performing cataract surgery on both eyes during the same surgical session is a safe, efficient, and effective option for most patients. Traditionally, cataract surgery on each eye is scheduled separately with a gap of weeks or months, but these new findings support the growing practice of immediate sequential bilateral cataract surgery, which involves operating on both eyes on the same day.

A Danish study involving 157 patients found that the majority could manage their daily activities independently soon after surgery. Specifically, 88% navigated their homes unaided, 79% successfully prepared food, and over half did not need assistance using their mobile phones. Although some patients still required help with eye drops, a significant portion—62%—did not need caregiver support within the first 24 hours.

In the UK, a large-scale study at Moorfields Eye Hospital tracked 10,192 patients undergoing bilateral cataract surgery between December 2023 and December 2024. This research demonstrated that patients who received simultaneous surgery with multifocal lenses achieved the best visual results, with 85% attaining 20/20 vision or better. Those with monofocal lenses also experienced comparable outcomes, with approximately 70% reaching the same level of clarity regardless of whether the surgery was with both eyes on the same day or on separate days.

Importantly, the studies confirmed that same-day bilateral surgery does not compromise safety or quality of vision. The new research shows that patients can recover quickly and achieve excellent visual outcomes, while also offering benefits such as reduced hospital visits, shorter treatment time, and potential cost savings. Experts suggest that, with appropriate patient education and planning, this approach can significantly streamline eye care delivery.

In conclusion, these findings reassure both patients and surgeons that performing cataract surgery on both eyes simultaneously is a viable and safe option, leading to faster recovery and superior visual results without additional risks. This emerging evidence may encourage wider adoption of same-day bilateral procedures in appropriate candidates, optimizing care and resource management.

Source: https://medicalxpress.com/news/2025-09-cataract-surgery-eyes-safely-effectively.html