Immediately Sequential Bilateral Cataract Surgery (ISBCS)

Immediately Sequential Bilateral Cataract Surgery (ISBCS)

Global History and Methodology

1st Edition - November 18, 2022

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  • Editors: Steve Arshinoff, Charles Claoue, Bjorn Johansson, David Perez-Silguero, Susan Qi, Mike Chen, Melanie Hebert
  • Paperback ISBN: 9780323953092
  • eBook ISBN: 9780323953108

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Immediately Sequential Bilateral Cataract Surgery (ISBCS): Global History and Methodology is a comprehensive guide for the safe and efficient performance of ISBCS. It provides an overview of the history, recommended protocols, necessary precautions, exclusion criteria, benefits and risks associated with this procedure, organizational standards, and more. Written by the most prominent ISBCS surgeons in the world, chapters recount the arguments for and against bilateral surgery that have been made throughout the ages, up to the present, and deliver achieved and proposed resolutions to all problems discussed. Topics such as ethics and medico-legal issues surrounding ISBCS are also discussed, and a chapter on the global evolution of bilateral cataract surgery provides readers with a complete overview of the development of ISBCS practices in countries from all continents.

Key Features

  • Provides a comprehensive history and current status of ISBCS globally
  • Provides step-by-step recommendations and precautions necessary to perform ISBCS safely, including detailed discussion of surgical infection prophylaxis with antibiotics delivered into the eye at surgery
  • Reviews and explains the patient benefits associated with ISBCS
  • Covers development of ISBCS practices worldwide


Ophthalmologists and residents in ophthalmology, ophthalmic surgeons. Health care decision makers and ophthalmic companies

Table of Contents

  • 1. The History of Cataract Surgery from ancient times to ISBCS

    1.1. The History of Cataract Surgery from ancient times to ISBCS: Cataract surgery since ancient times to Daviel

    1.2. The History of Cataract Surgery from ancient times to ISBCS: The History of Cataract Surgery from ancient times to ISBCS: Early history of bilateral cataract surgery from Daviel to 1995

    1.3. The History of Cataract Surgery from ancient times to ISBCS: Rapid adoption of ISBCS – Late 20th century

    2. Why did we not always do ISBCS? (What had to be overcome?)

    3. The logic behind bilateral cataract surgery

    4. The argument for and against ISBCS

    4.1 Immediately Sequential Bilateral Cataract Surgery: An idea whose time has come

    4.2 Immediate Sequential Bilateral Cataract Surgery: Does the Patient Benefit?

    5. ISBCS in children

    6. The carbon footprints of ISBCS and DSBCS

    7. The risk of bilateral endophthalmitis and IC antibiotics

    8. Ophthalmic Viscosurgical Devices for ISBCS

    9. Biometry for ISBCS

    10. IOL Power Selection in 2022 – Best Practices for ISBCS and DSBCS

    11. ISBCS and presbyopia correcting IOLs

    12. Inclusions and Exclusions for ISBCS

    13. Ethics surrounding ISBCS

    14. Medico-legal Aspects of ISBCS

    15. ISBCS and money

    16. The Evolution of Bilateral Cataract Surgery - Global perspective

    16.1. Nordic Countries - Sweden

    16.2. Nordic Countries - Finland

    16.3. Holland

    16.4. Germany

    16.5. ISBCS: "The Swiss Way"

    16.6 ISBCS in Austria

    16.7. The Evolution of ISBCS in Spain - Canary Islands

    16.8. UK

    16.9. Canada

    16.10. ISBCS in USA

    16.11. South America

    16.12. Israel

    16.13. The Middle East & North Africa

    16.14. India

    16.15. China & Southeast Asia

    16.16. South Africa

    16.17. Immediately Sequential Bilateral Cataract Surgery: The Sub Saharan African Perspective

    16.18. ISBCS in Australia and New Zealand

    17. "Nothing is more powerful than an idea whose time has come." Why was ISBCS resisted and how was this overcome?

    18. The International Society of Bilateral Cataract Surgeons

    19. Anesthesia for ISBCS

    20. ISBCS - the patient's perspective

    20.1 Britta Patient Perspective

    20.2 Singal Patient Perspective

    20.3 Patient Perspective

    20.4 Faye Dance Patient Perspective

    21. Is ISBCS appropriate for MSICS?

    22. FLACS and ISBCS

    23. The COVID-19 pandemic and the uptake of ISBCS

    24. ISBCS: What we have learned, and how has it advanced ophthalmology?

    25. The future and limitations of ISBCS

Product details

  • No. of pages: 418
  • Language: English
  • Copyright: © Academic Press 2022
  • Published: November 18, 2022
  • Imprint: Academic Press
  • Paperback ISBN: 9780323953092
  • eBook ISBN: 9780323953108

About the Editors

Steve Arshinoff

Dr. Arshinoff MD FRCSC graduated from Baylor College of Medicine, in Houston, Texas, and completed his ophthalmic training at The University of Toronto, Canada, where he is Professor at the Department of Ophthalmology and Vision Sciences. His areas of research interest include ophthalmic viscosurgical devices and related surgical techniques, phacoemulsification machine design, immediately sequential bilateral cataract surgery, endophthalmitis prophylaxis, and medical outreach programs. He is on the Editorial Board of the Journal of Cataract and Refractive Surgery and has authored more than 300 peer-reviewed publications and 38 medical textbook chapters. Dr. Arshinoff is the designer of the OMA-CNIB (Ontario Medical Association - Canadian National Institute for the Blind) Mobile Medical Eye Care Unit (MMECU) and is the medical director of this program to the North of Ontario, Canada. He is the Founding President of the Toronto Ophthalmological Society, the Eye Foundation of Canada, and the International Society of Bilateral Cataract Surgeons (iSBCS) and is a Past President of the International Intra-ocular Implant Club, the parent society of the American, European and all other Societies of Cataract and Refractive Surgery globally.

Affiliations and Expertise

Professor, Department of Ophthalmology and Vision Sciences, University of Toronto, Canada

Charles Claoue

Professor Charles Claoué was Senior Consultant Ophthalmic Surgeon at Queen’s Hospital, BHR University Hospitals NHS Trust, and is currently in independent private practice in London. He worked in the NHS from 1981 and specialises in advanced cataract surgery, intraocular lens design, corneal transplantation, corneal (Femto-LASIK) and lens refractive surgery (including PRELEX). In 2017 he founded EYE-LAW CHAMBERS to improve standards in medicolegal ophthalmology. He is the only ophthalmologist in the United Kingdom who has been a Clinical Lead for Organ Donation. Professor Claoué trained at the University of Cambridge, St.Thomas’ Hospital and Moorfields Eye Hospital, and holds academic links to the Universities of London, Pretoria, Ulster and the Russian Academy of Sciences. He has been Secretary to both UKISCRS and the British Society for Refractive Surgery. He is Liveryman Guardant of the Society of Apothecaries Guild, and Freeman of The City of London. He has published over 120 peer-reviewed articles as well as book chapters and edited an early text-book on refractive surgery. He is a council member of The Academy of Experts and a member of the International Intraocular Implant Club. Amongst his many achievements, he was the first surgeon to describe PRELEX (PREsbyopic Lens EXchange). He was a founding member of the International Society of Bilateral Surgeons (iSBCS) as an early protagonist of ISBCS. Outside of medicine, his interests include classic cars, history and farming.

Affiliations and Expertise

Professor Emeritus, Harley Street Eye Centre, London, UK

Bjorn Johansson

Björn Johansson, MD PhD, Fellow of European Board of Ophthalmology, Associate professor and senior staff member at the Department of Ophthalmology, Linköping University Hospital, Sweden, studied medicine at the universities of Uppsala and Linköping. Ophthalmogical and surgical training took place in Linköping. Since 1990 he has performed 15000+ cataract operations. For more than 15 years he has been trainer for new cataract surgeons at Linköping University Hospital. After defending his thesis in the field of electrophysiology, focus in research has been cataract surgery outcomes and Immediate Sequential Bilateral Cataract Surgery, ISBCS, which he started to perform in 1999. In around 50% of regular cataract cases he plans ISBCS. Previously secretary of the Swedish Ophthalmological Society he serves in the society’s specialist exam work group and also co-authors the national Swedish curriculum for education of new cataract surgeons. He is member of the American, European and Scandinavian Societies for Cataract & Refractive Surgeons, the International Intra-Ocular Implant Club and the International Society for Bilateral Cataract & Refractive Surgeons.

Affiliations and Expertise

Associate Professor, Department of Ophthalmology and Department of Biomedical and Clinical Sciences, Linköping University, Sweden

David Perez-Silguero

Doctor in Ophthalmology from the Complutense University of Madrid, outstanding cum laude with the doctoral thesis on corneal refractive surgery, CEO of the Pérez Silguero ophthalmology clinic in Las Palmas de Gran Canaria, Spain, Head of the ophthalmology service at the San José Hospital in Las Palmas de Gran Canaria, Reviewer of the archives of the Canarian Society of Ophthalmology, and of the Archives of the Spanish Society of Ophthalmology. Specialized in corneal refractive surgery, and multifocal intraocular lenses, specialist in corneal tomography, developer of surgical material, specialist in oculoplasty (fellow in Mexico, Hospital for the Blind), pediatric ophthalmologist and glaucomatologist.

Affiliations and Expertise

Doctor in Ophthalmology, Complutense University of Madrid, Spain

Susan Qi

Dr. Susan Ruyu Qi holds a Doctor of Medicine (M.D.) degree from Université de Montréal and is finishing her final years of residency training in ophthalmology at Université Laval, Quebec, Canada. In residency, her research interest focused on Immediately Sequential Bilateral Cataract Surgery (ISBCS), Topography-guided LASIK outcomes, and the clinical trial of a novel retinal oximetry device. Passionate about innovation in medicine, artificial intelligence, and entrepreneurship, she obtained a Master of Science in Clinical Informatics Management (MCiM) at Stanford University in California. Having grown up in Montreal, Canada, and China, she is fully fluent in English, French and Mandarin Chinese.

Affiliations and Expertise

Department of Ophthalmology, Université Laval, Québec, Canada

Mike Chen

Mike Yuan Chen immigrated to Canada from China as a middle school student and worked hard academically as he has always been highly motivated to become a physician. He graduated with an honours bachelor’s degree in medical sciences (BMSc) from Western University in Ontario, Canada. He next met Dr. Arshinoff (senior chief author/editor) at his office in 2018, where he subsequently worked as an ophthalmic assistant/technician for close to three years to save and prepare himself for medical school. He contributed to several projects related to bilateral simultaneous postoperative endophthalmitis, which led to 3 peer-reviewed publications. He now studies at Georgetown University School of Medicine in Washington DC, with a special interest in ophthalmology as a future career.

Affiliations and Expertise

Georgetown University School of Medicine, Washington DC, USA

Melanie Hebert

Dr. Mélanie Hébert MD MSc is an ophthalmology resident at Université Laval, Québec, Canada. She obtained her medical degree and master’s degree in biomedical sciences concurrently at the Université de Montréal. She was awarded the FRQS Master’s Training for Medical Students and CIHR Canada Graduate Scholarships for her research. She has wide-ranging research interests in every ophthalmology subspecialty, including immediately sequential bilateral cataract surgery (ISBCS), surgical outcomes, and public health. She publishes many peer-reviewed articles, conducts peer reviews for numerous journals, and presents in local to international conferences. Dr. Hébert is also an avid classical pianist and chamber musician who competed internationally and performs in fundraising concerts.

Affiliations and Expertise

Department of Ophthalmology, Université Laval, Québec, Canada

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