Combined intraocular and oculofacial surgeries

Abstract

: Traditionally, a ‘combined surgery’ for ophthalmologists includes combined cataract extraction with other intraocular surgeries. However, literature is lacking on oculofacial procedures (eyelid, brow lift and facial surgery) combined with cataract extraction. : With this study, we aim to analyse the possibility and feasibility of simultaneous cataract and Oculoplastic procedures. Patients with operable cataracts and non-infective oculoplastic lesions, consenting to undergo simultaneous procedures were included in the study. We performed combined cataract and oculoplastic procedures in 122 patients, out of which 53 were males and 69 were females, 73 were ipsilateral and 49 contralateral eyes. The postoperative follow-up period was 1 month. We did not note any hemorrhage/ hematoma in any of our patients undergoing combined procedures. No post-operative ocular inflammation/ infection was noted after cataract extraction. We found that the combined procedure of ptosis under/ over correction with cataract extraction had no bearing on visual outcomes as compared to routine cataract outcomes. We noted no under or over-correction in patients undergoing ptosis correction. : Simultaneous extra-ocular and phacoemulsification is an option for patients reluctant for multistage procedures either by choice or medical recommendations. It is also an alternative for patients with poor medical compliance and works in favour of ergonomics and economy.