Routine Preoperative Physical Exams for Cataract Surgery Are Unnecessary, Costly

Source: Medscape

Routine preoperative medical testing should be avoided in patients undergoing cataract surgery, particularly when surgery is performed more than 30 days after biometry, to reduce costs as well as inconvenience for patients and clinicians, researchers say, according to a report from Reuters.

“In the case of cataract surgery, it is very clear that routine preoperative medical testing (i.e., testing that is ordered simply because a patient is scheduled to undergo cataract surgery) does not benefit patients, is not recommended by any of the specialty societies, and should be avoided,” Catherine Chen, MD, of the University of California, San Francisco, said in an email to Reuters Health.

“We are not saying that there should not be any medical testing in the lead up to cataract surgery, she stressed. “Some patients may have true clinical indications for testing while awaiting surgery, but there generally should not be a sudden spike of excess testing associated with cataract surgery over the baseline rate of testing in this patient population.”

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