دورية أكاديمية
Femtosecond laser-assisted cataract surgery versus conventional phacoemulsification: A meta-analysis of randomized controlled trials.
| العنوان: | Femtosecond laser-assisted cataract surgery versus conventional phacoemulsification: A meta-analysis of randomized controlled trials. |
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| المؤلفون: | Pichardo-Loera NS; Anterior Segment Department, Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico., Corredor-Ortega C; Anterior Segment Department, Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico., Castro-Monreal MA; Anterior Segment Department, Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico., Massaro-Corredor MG; Anterior Segment Department, Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico., Pérez-Vázquez JF; Anterior Segment Department, Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico., Gonzalez-Salinas R; Anterior Segment Department, Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico. |
| المصدر: | European journal of ophthalmology [Eur J Ophthalmol] 2024 Sep; Vol. 34 (5), pp. 1458-1468. Date of Electronic Publication: 2024 Jan 30. |
| نوع المنشور: | Comparative Study; Journal Article; Meta-Analysis |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publishing Country of Publication: United States NLM ID: 9110772 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6016 (Electronic) Linking ISSN: 11206721 NLM ISO Abbreviation: Eur J Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Thousand Oaks, CA : SAGE Publishing Original Publication: Milano ; Birmingham, AL : Wichtig, c1991- |
| مواضيع طبية MeSH: | Cataract Extraction*/adverse effects , Cataract Extraction*/instrumentation , Cataract Extraction*/methods , Laser Therapy*/adverse effects , Laser Therapy*/instrumentation , Laser Therapy*/methods , Phacoemulsification*/adverse effects , Phacoemulsification*/methods , Postoperative Complications*/epidemiology , Postoperative Complications*/etiology , Visual Acuity*/physiology, Humans ; Lens Implantation, Intraocular/adverse effects ; Lens Implantation, Intraocular/instrumentation ; Lens Implantation, Intraocular/methods ; Randomized Controlled Trials as Topic |
| مستخلص: | Purpose: The main purpose of our study is to compare the adverse events occurrence, complications, and postoperative outcomes of Femtosecond Laser-Assisted Cataract Surgery (FLACS) versus conventional phacoemulsification surgery (CPS) in adult patients undergoing cataract surgery. Methods: We conducted our research using PubMed, Scopus, and MEDLINE through EBSCOhost from 2012 to July 2022 with English and Spanish language restriction, including only Randomized Controlled Trials (RCTs). The PRISMA guidelines were observed for data abstraction, including a random-effects model for each outcome. Results: We analyzed 4844 eyes from 23 RCTs with some low risk of bias according to RoB 2 tool. We found statistically significant differences between the FLACS and CPS groups for the mean absolute error (MD = -0.12, 95% CI:-0.22-[-0.02], p = 0.01), the circularity of capsulorhexis (MD = 0.04, 95% CI: 0.04-0.05, p ≤ 0.00001), IOL centration ( D = -0.07, 95% CI:-0.09-[-0.05], p ≤ 0.00001), CDE count (MD = -1.75, 95% CI: -2.75-[-0.74], p = 0.0006), mean phacoemulsification time (MD = -12.90, 95% CI:-20.89-[-4.92], p = 0.002), EPT (MD = -0.93, 95% CI: -1.68-[-0.019], p = 0.01) and endothelial cell density loss ((MD = -0.6, 95% CI: -1-[-0.19], p = 0.004). Also, the safety analysis showed a lower incidence of posterior capsule tear (PCT) in the FLACS group (OR =0.29, 95% CI: 0.09-1, p = 0.05). Conclusions: Our results suggest that FLACS might be helpful for patients with relatively dense cataracts and low preoperative endothelial cell values. Competing Interests: Declaration of conflicting interestsR. Gonzalez-Salinas reports personal fees from Inc., LayerBio, Inc., Alcon Laboratories, and Laboratorios Sanfer outside the submitted work. |
| فهرسة مساهمة: | Keywords: Phacoemulsification < LENS / CATARACT; epidemiology / biostatistics < LENS / CATARACT; intraoperative complications of cataract surgery < LENS / CATARACT; surgical instruments / special techniques < LENS / CATARACT; wound construction < LENS / CATARACT |
| تواريخ الأحداث: | Date Created: 20240131 Date Completed: 20240911 Latest Revision: 20240924 |
| رمز التحديث: | 20240925 |
| DOI: | 10.1177/11206721241229129 |
| PMID: | 38291620 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1724-6016 |
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| DOI: | 10.1177/11206721241229129 |