Shorter intraocular time reduces exposure to irrigation fluid, ultrasound energy, and mechanical stress — all contributors to endothelial cell loss and early inflammation. When paired with appropriate technique and planning, reduced duration is associated with less corneal trauma and faster early recovery.
Safety is not compromised by speed itself, but by poor planning, excessive manipulation, or inexperienced judgement. Efficient surgery that follows a clear plan reduces cumulative stress on the eye.
For patients, shorter intraocular time in experienced hands is usually protective rather than risky.
What this means for you
- Efficiency should be assessed alongside endothelial health and visual outcomes
- Ask about corneal preservation metrics, not just time
Question to ask
- “What are your endothelial cell loss rates and early inflammation outcomes for similar cases?”
References
- Walkow T, Anders N, Klebe S. Endothelial cell loss after phacoemulsification: relation to preoperative and intraoperative parameters. Journal of Cataract & Refractive Surgery. 2000;26(7):1070–1077.
- Oshika T, Sugita G, Inamura M. Influence of operative time on corneal endothelium after phacoemulsification surgery. Ophthalmology. 1997;104(1):60–65.
