• Can J Ophthalmol · Dec 2009

    Review

    Is fasting required before cataract surgery? A retrospective review.

    • Suren Sanmugasunderam and Aniz Khalfan.
    • Department of Ophthalmology, University of British Columbia, Vancouver, BC, Canada.
    • Can J Ophthalmol. 2009 Dec 1;44(6):655-6.

    ObjectiveTo investigate the possibility that fasting is not required before cataract surgery.Study DesignRetrospective review.ParticipantsAll 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.MethodsThree 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.ResultsIn 5125 cases of cataract surgery, no case of aspiration pneumonia was found.ConclusionsThis study suggests that it is safe to perform cataract surgery under topical or infiltration anaesthesia with intravenous sedation without fasting prior to surgery.

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