For bilateral cataract surgery, what first-eye events trigger aborting the second-eye surgery that day?

This is a very challenging question that has a few reasonable answers. To speak to my experience, I perform multiple bilateral sequential same-day cataract surgeries a year, usually one every few months. My patients that I deem eligible for this are almost exclusively adults with developmental delay...

For my immediate sequential bilateral cataract surgeries (ISBCS), any event that could increase the risk of second-eye intraoperative or postoperative complications will trigger the aborting of the second-eye surgery. Additionally, any situation that would require a breach of ISBCS protocol leads to...

Any type of issue that could result in a difficult to achieve end result.

Seems not worthwhile unless there is a major medical reason, like severe dementia. How would you be able to take into account the refractive outcome from the first eye before you do the second eye? I haven’t personally needed to do post-op LASIK for refractive surprise in many years, by using the se...