Table 2 Importance ratings of factors that are pre-requisites for ISBCS. A significant amount of importance was given to prevent infection (reducing the risk of endophthalmitis, good infection record and re-gowning and re-gloving)
Option | Not important | A little important | Important | Very important |
|---|---|---|---|---|
The patient and their eyes have no additional risk of developing endophthalamitis | 0 (0%) | 1 (5.6%) | 2 (11.1%) | 15 (83.3%) |
Exclusion of high risk eyes (extremes of axial length, glaucoma, risk of inflammation including cystoid macular oedema, risk of retinal detachment, dense or white nucleus, etc) | 1 (5.6%) | 2 (11.1%) | 5 (27.8%) | 10 (55.6%) |
Surgeon with a track record | 0 (0%) | 0 (0%) | 10 (55.6%) | 8 (44.4%) |
Operating facilities have good infection record | 0 (0%) | 1 (5.6%) | 2 (11.1%) | 15 (83.3%) |
The surgeon and scrub nurse rescrub, regown and reglove before second eye surgery | 2 (11.1%) | 0 (0%) | 0 (0%) | 16 (88.9%) |
Second surgeon and second scrub nurse scrub for second eye surgery | 13 (72.2%) | 3 (16.7%) | 0 (0%) | 2 (11.1%) |
Instruments for each operation having gone through different sterilisation cycles | 7 (38.9%) | 2 (11.1%) | 2 (11.1%) | 7 (38.9%) |
Medicine, solutions and cannulae having come from different manufacturers or have different batch numbers | 5 (27.8%) | 2 (11.1%) | 3 (16.7%) | 8 (44.4%) |
Day 1 review by ophthalmologist | 13 (72.2%) | 3 (16.7%) | 2 (11.1%) | 0 (0%) |