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Can J Ophthalmol. 2009 Dec;44(6):655-6. doi: 10.3129/i09-156.

Is fasting required before cataract surgery? A retrospective review.

Author information

1
Department of Ophthalmology, University of British Columbia, Vancouver, BC, Canada.

Abstract

OBJECTIVE:

To investigate the possibility that fasting is not required before cataract surgery.

STUDY DESIGN:

Retrospective review.

PARTICIPANTS:

All patients who had cataract surgery alone (not combined with corneal or glaucoma surgery) at Mount St. Joseph Hospital between April 1, 2007, and March 31, 2008.

METHODS:

Three methods were used to determine whether any cases of aspiration pneumonia after cataract surgery had occurred: recall by the supervising anaesthetist, a search of hospital medical records for admissions with a diagnosis of pneumonia, and recall by the operating surgeons.

RESULTS:

In 5125 cases of cataract surgery, no case of aspiration pneumonia was found.

CONCLUSIONS:

This study suggests that it is safe to perform cataract surgery under topical or infiltration anaesthesia with intravenous sedation without fasting prior to surgery.

PMID:
20029482
DOI:
10.3129/i09-156
[Indexed for MEDLINE]

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