Preoperative Evaluation Can Delay Ophthalmologic Surgery Without Improving Outcomes
Authors: BobbieJean Sweitzer
Journal: Annals of Internal Medicine (2022)

EditorialsMay 2022Preoperative Evaluation Can Delay Ophthalmologic Surgery Without Improving OutcomesBobbieJean Sweitzer, MDBobbieJean Sweitzer, MDInova Health, Falls Church, and Department of Medical Education, University of Virginia, Charlottesville, VirginiaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-0709 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Ophthalmologic procedures are among the most common surgeries performed. In the United States and most developed countries, the vast majority of ophthalmologic procedures are done with local anesthesia with minimal sedation as outpatient procedures. Most patients having eye procedures are elderly with many comorbidities. Evidence suggests that ophthalmologic surgeries carry very little perioperative risk (1). However, patients are commonly sent for preoperative testing and evaluation before these surgeries. In this issue, Sen and colleagues contribute further to what is almost irrefutable evidence of the safety of ophthalmologic procedures (2).Using 2 large patient registries in Norway and Sweden, they identified ...References1. Fong CS, Mitchell P, Rochtchina E, et al. Visual impairment corrected via cataract surgery and 5-year survival in a prospective cohort. Am J Ophthalmol. 2014;157:163-170.e1. [PMID: 24161249] doi:10.1016/j.ajo.2013.08.018 CrossrefMedlineGoogle Scholar2. Sen A, Gémes K, Stålhammar G, et al. Risk for acute myocardial infarction after ophthalmologic procedures. Ann Intern Med. 2022;175:628-33. doi:10.7326/M20-6618 LinkGoogle Scholar3. Hashemi H, Pakzad R, Yekta A, et al. Global and regional prevalence of age-related cataract: a comprehensive systematic review and meta-analysis. Eye (Lond). 2020;34:1357-1370. 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Circulation. 2014;130:2215-45. [PMID: 25085962] doi:10.1161/CIR.0000000000000105 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Inova Health, Falls Church, and Department of Medical Education, University of Virginia, Charlottesville, VirginiaDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-0709.Corresponding Author: BobbieJean Sweitzer, MD, Inova Health, 3300 Gallows Road, Falls Church, VA 22042; e-mail, BobbieJean.[email protected]org.This article was published at Annals.org on 22 March 2022. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRisk for Acute Myocardial Infarction After Ophthalmologic Procedures Abhijit Sen , Katalin Gémes , Gustav Stålhammar , Christer Svensen , Per Tornvall , Magnus Jonsson , Torunn Varmdal , Birger Henning Endreseth , Imre Janszky , and Jette Möller Metrics May 2022Volume 175, Issue 5Page: 747-748KeywordsAdverse eventsAnesthesiaCataract surgeryCataractsOphthalmologySurgery ePublished: 22 March 2022 Issue Published: May 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...