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  • Question on Consultation

    Do you agree with the proposed update to recommendation 1.6.3? Yes/No. If no, please can you provide your rationale.
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Consultation

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Minor update proposal

We are proposing to make a minor update on recommendation 1.6.3 in the Cataracts guideline (NICE guideline NG77) to ensure the recommendation does not unduly discourage clinicians from using shared decision making to offer a choice of immediate sequential bilateral cataract surgery or delayed surgery to patients.

The current guideline recommendation wording is:

1.6.3 Consider bilateral simultaneous cataract surgery for:

  • people who are at low risk of ocular complications during and after surgery or

  • people who need to have general anaesthesia for cataract surgery but for whom general anaesthesia carries an increased risk of complications or distress.

The proposed updated wording is:

1.6.3 Offer a choice of either immediate sequential bilateral cataract surgery or first-eye surgery followed by delayed second eye-surgery to people who:

  • are at low risk of ocular complications during or after surgery or

  • need to have general anaesthesia.