ISCS Full Form In Medical Terms – Complete Procedure 2025

ISCS is a medical term related to the eyes. ISCS full form in medical terms stands for Immediate Sequential Cataract Surgery. It is a complicated and interesting eye surgery.

Read more: DVD Full Form In Medical Terms And Everything Else You Need to Know About It.

ISCS Full Form In Medical

What is ISCS full form in medical?

ISCS full form in medical is nothing but operating both eyes simultaneously using similar operating procedures for both eyes, following appropriate sterile conditions and protocols to prevent cross-contamination of the products and the eyes.

Traditionally practised procedures often lead to cross-contamination, which can lead to conditions like a fungal or bacterial infection or inflammation of the eyes after surgery. The technique is gaining traction due to its convenience, especially in specific patient populations and healthcare systems.

Advantages of ISCS :

1.   Clear vision support

This method benefits patients with bilateral cataracts causing visual impairment, as they can get clear visual from the eyes simultaneously after operating through this procedure.

2.   Cost-effectiveness

ISCS reduces the cost of the treatment as it involves the treatment of both eyes simultaneously, reducing the cost of hospitalization, transportation, medications, and follow-ups.

3.   Comfortable for patient

It is particularly advantageous for elderly patients, those with limited mobility, or individuals living far from healthcare facilities.

4.   Reduced pain during operation

Many people are scared of going through the surgeries, so they avid to go through multiple surgeries and pain after the surgery. This method is easy and saves people from the stress of returning from a second operation.  

Disadvantages of performing ISCS :

1.   Risk of complications to both the eyes

This technique increases the risk of affecting both eyes simultaneously. Most of the time, this procedure leads to infection in both eyes, which can be dangerous, as it leads to loss of vision.

2.   Difficulty in Adjusting Intraocular Lens(IOL) Power

In the traditionally practised technique DSCS, surgeons can adjust the refractive outcome of the first eye before operating on the second eye, but in this technique, it is not possible which may impact the accuracy of LOL power selection.

3.   Potential for Cross-Contamination

If the procedure is not carried out with proper care and instruction there are sight, chances of causing infection to the eyes which can lead to complications in the eyes.

Procedure for ISCS :

ISCS involves performing cataract surgery on both eyes during the same surgical session, but with distinct steps to ensure safety and minimize risks:

1. Separate Instrumentation and Sterilization

•Each eye is treated as a separate surgical event. Surgeons use sterilized instruments, gloves, and drapes for the second eye to prevent cross-contamination.

•Different batches of medications, such as anaesthetics and antibiotics, are used for each eye.

2. Surgical Workflow

•The surgeon operates on one eye, ensuring complete closure and dressing before beginning the second eye.

•The second surgery often involves repositioning the patient slightly to ensure optimal access and sterile conditions.

3. Post-Surgical Care

•Patients are prescribed individualized care regimens for each eye, including separate bottles of eye drops to reduce the risk of cross-contamination.

The Best Ways to Practice ISCS :

1.   Strict sterilization protocols

Practice this procedure in sterile conditions, use separate instruments that are already sterile, and use sterile medications and environment to prevent infection during operation.

2.   Comprehensive Patient Counseling

Patients should be aware of the consequences of the treatment, along with ISCS patients should also know other techniques to perform such surgeries like DSCS.

3.   Careful LOL Selection

Surgeons should inspect the condition of the eyes for conservative IOL power predictions to ensure optimal outcomes from both eyes.

4.   Patient Selection Criteria

ISCS is more appropriate for low-risk patients without significant comorbidities affecting surgical outcomes. Patients should be evaluated to check the presence of long-term chronic diseases if any like diabetes, hypertension, or Coronary artery disease.

Is ISCS practised all over the globe?

ISCS is generally practised in all the countries that are finally stable and have well-equipped resources to perform such complex surgeries. It is widely practised in Finland, Sweden, and parts of Canada.

In these regions, the focus is on improving access to vision-restoring surgery while minimizing healthcare costs. However, in countries like the United States of America, ICSC adoption is slower due to concerns about malpractice risk and regulatory barriers.

Conclusion

Immediate Sequential Cataract Surgery offers significant benefits in terms of patient convenience, cost efficiency, and faster recovery. However, careful patient selection and adherence to stringent surgical protocols are essential to minimize risks.

As advancements in cataract surgery continue, ISCS is expected to play a larger role in addressing global blindness due to cataracts.

ISCS is Immediate Sequential Cataract Surgery (ISCS) a procedure where cataract surgery is performed on both eyes during the same surgical session.

This approach allows patients to address bilateral cataracts in one visit, offering faster recovery and visual rehabilitation compared to Delayed Sequential Cataract Surgery (DSCS).

Patients who may benefit from ISCS include:

•Those with significant bilateral cataracts impairing daily activities.

•Elderly or frail individuals who may struggle with multiple surgical visits.

•Patients living in remote areas with limited access to healthcare.

•Individuals without major comorbidities like uncontrolled diabetes or advanced glaucoma.

Yes, studies have shown that ISCS is as safe as DSCS when proper protocols are followed. The risks of complications like infection or endophthalmitis are minimized with stringent sterilization practices, the use of separate instruments for each eye, and proper postoperative care.

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