Should every candidate for cataract extraction be scheduled to the preoperative clinic? The Rabin Medical Center experience

Itay Elimelech Gabbay*, Uri Gabbay, Daniel A. Goldstein, Yoav Nahum

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: Cataract surgery is one of the most common elective surgeries. We present a novel approach of preoperative triage using community-based ophthalmologist referral letters for scheduling surgery, thus reducing both patient and physician time prior to surgery. Since most patients are not routinely examined in a preoperative clinic, day of surgery cancelations are a possibility. The aim of this study is to evaluate the efficiency of our triage system. Methods: Historical prospective study in which the end point was day-of-surgery cancelation. The main outcome measure of this study was the rate of cancelations which could have been prevented by a preoperative visit. Patients’ records were reviewed for reasons for cancelation and demographics. Results: During the study period, 1030 patients underwent cataract surgery, 171 patients (16.6%) were examined in the preoperative clinic. Forty-five patients (4.4%) were canceled on the day of surgery due to various reasons. The main reason for cancelation (13 cases, 28.9%) was non-availability of operating theater. In 20 cases (1.9% of total patients, 44.4% of cancelations), the cancelations could have been prevented by a preoperative clinic visit. Conclusion: Our results suggests that most cataract patients do not require preoperative visit prior to the day of surgery. The cooperation of community-based ophthalmologists and the availability of senior surgeons in the operating theater allows for the proper implementation of our system. Direct referral to surgery could shorten both costs and time to surgery and provide timely treatment for cataracts in a cost-aware environment.

Original languageEnglish
Pages (from-to)1268-1271
Number of pages4
JournalEuropean Journal of Ophthalmology
Issue number6
StatePublished - Nov 2020


  • Biometry
  • Cataract
  • Ophthalmic Surgery
  • Preoperative
  • Surgery


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