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At AAO, Prospective Study Backs Office-Based Cataract Surgery With Oral Sedation

Researchers report results from 729 procedures performed in accredited office suites using standardized diazepam dosing.

Overview

  • About 10% of patients required supplemental medication beyond 5 mg for older adults or 10 mg for younger adults, with no cases rescheduled for IV sedation due to anxiety or restlessness.
  • Only one intraoperative complication was reported across the 729 office-based cases, involving vitreous gel leakage.
  • More than 99% of participants chose the office setting for their second-eye surgery despite ready access to an ambulatory surgery center nearby.
  • Diazepam’s onset coincided with pupillary dilation, enabling surgeons to confirm adequate sedation before entering the operating room and improving predictability.
  • Facilities were purpose-built and accredited to ASC-level standards, and the team is continuing prospective data collection as AAO courses highlight practical and legal considerations for wider adoption.