دورية أكاديمية

Effect of intraocular lens material and haptic design on anterior capsule contraction after cataract surgery: A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Effect of intraocular lens material and haptic design on anterior capsule contraction after cataract surgery: A systematic review and meta-analysis.
المؤلفون: Chen L; Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, Zhejiang Province, China.; Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang Provincial Engineering Institute On Eye Diseases, Hangzhou, 310009, Zhejiang Province, China., Zhong Y; Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, Zhejiang Province, China.; Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang Provincial Engineering Institute On Eye Diseases, Hangzhou, 310009, Zhejiang Province, China., Yao K; Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, Zhejiang Province, China. xlren@zju.edu.cn.; Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang Provincial Engineering Institute On Eye Diseases, Hangzhou, 310009, Zhejiang Province, China. xlren@zju.edu.cn., Fu Q; Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, Zhejiang Province, China. 2313009@zju.edu.cn.; Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang Provincial Engineering Institute On Eye Diseases, Hangzhou, 310009, Zhejiang Province, China. 2313009@zju.edu.cn.
المصدر: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [Graefes Arch Clin Exp Ophthalmol] 2024 May; Vol. 262 (5), pp. 1421-1432. Date of Electronic Publication: 2023 Oct 13.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 8205248 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-702X (Electronic) Linking ISSN: 0721832X NLM ISO Abbreviation: Graefes Arch Clin Exp Ophthalmol
أسماء مطبوعة: Original Publication: Berlin ; New York : Springer-Verlag, c1982-
مواضيع طبية MeSH: Lenses, Intraocular* , Prosthesis Design* , Cataract Extraction* , Postoperative Complications*, Humans ; Lens Implantation, Intraocular ; Anterior Capsule of the Lens/surgery
مستخلص: Purpose: To compare anterior capsule contraction (ACC) after cataract surgery with implantation of intraocular lens (IOLs) of different materials and designs.
Methods: We searched three electronic databases for relevant studies published up to January 1, 2023. Five randomized controlled trails (RCTs) and three cohort studies involving 1,221 eyes were included in quantitative synthesis. We extracted data, assessed their quality independently, and calculated standard mean difference (SMD) using a random-effects model. Six RCTs and one retrospective cohort were included in information summary.
Results: The contraction of the anterior capsule opening area in the hydrophilic group was larger than that of the hydrophobic group from one month to one year postoperatively (P < 0.001 and P < 0.001, respectively). Specifically, the hydrophilic group showed greater contraction of the anterior capsule opening area at one month postoperatively (Standardized mean difference [SMD] = -0.73, 95% confidence interval [CI] = -0.93 to -0.52), three months (SMD = -1.04, 95% CI = -1.32 to -0.75), six months (SMD = -0.99, 95% CI = -1.24 to -0.74) and one year (SMD = -1.33, 95% CI = -2.50 to -0.16). As of one year postoperatively, the anterior capsular opening area showed a trend of decreasing over time in both groups (P = 0.046 and P = 0.050, respectively). In information summary, three studies indicated no relationship between haptic design and ACC, while the other four studies reported that the number and shape of haptic would affect ACC.
Conclusion: This meta-analysis suggested that the postoperative ACC after the implantation of hydrophobic IOLs was less than that induced by hydrophilic IOLs. Haptic design may also affect the degree of ACC.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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معلومات مُعتمدة: 82271063 National Natural Science Foundation of China; 81670833 National Natural Science Foundation of China; 81870641 National Natural Science Foundation of China; 8207939 National Natural Science Foundation of China; 81300641 National Natural Science Foundation of China; 2019QNA7026 Fundamental Research Funds of the Central Universities; 2019C03091 Zhejiang Province Key Research and Development Program; 2020C03035 Zhejiang Province Key Research and Development Program
فهرسة مساهمة: Keywords: Anterior capsule contraction; Cataract; Intraocular lens; Meta-analysis
تواريخ الأحداث: Date Created: 20231013 Date Completed: 20240807 Latest Revision: 20240807
رمز التحديث: 20240808
DOI: 10.1007/s00417-023-06230-x
PMID: 37831171
قاعدة البيانات: MEDLINE
الوصف
تدمد:1435-702X
DOI:10.1007/s00417-023-06230-x