Document Detail


Phacoemulsification versus manual small-incision cataract surgery for age-related cataract: meta-analysis of randomized controlled trials.
MedLine Citation:
PMID:  22958062     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: To compare outcomes of Phacoemulsification (PE) with manual small-incision cataract surgery (MSICS) for age-related cataract. DESIGN: Meta-analysis PARTICIPANTS: Patients from previously reported randomized controlled trials (RCTs) of PE and MSICS with clinical outcomes. METHODS: A comprehensive literature search of Cochrane Library, PubMed and EMBASE to identify relevant RCTs comparing PE and MSICS. A meta-analysis was performed on the results and a RevMan 5.0 software was used for data analysis. MAIN OUTCOME MEASURES: Primary outcome measures included best corrected vision acuity (BCVA), uncorrected visual acuity (UCVA). Secondary outcome measures included surgically induced astigmatism (SIA), percentage of endothelial cell count (ECC) loss and complications. RESULTS: Six RCTs describing a total of 1315 eyes were identified. There were no significant differences between the techniques regarding the BCVA 6/9 or better (P =.69) and less than 6/18 (P =.68), percent of ECC loss (P =.45), intraoperative or postoperative complications (P =.44 and P =.87, respectively). However, a greater proportion of patients in the PE group had final UCVA ≥ 6/9 (P =.03), whereas a greater proportion of patients in the MSICS group had final UCVA < 6/18 (P =.03). Moreover, PE group induced less SIA (P <.00001). CONCLUSIONS: PE is superior to MSICS in UCVA and causes less SIA, but there were no significant differences in visual rehabilitation, ECC loss and complication rates between the two techniques.
Authors:
Jia-Yu Zhang; Yi-Fan Feng; Jian-Qiu Cai
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-7
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  -     ISSN:  1442-9071     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Author. Clinical and Experimental Ophthalmology © 2012 Royal Australian and New Zealand College of Ophthalmologists.
Affiliation:
The Third Affiliated Hospital, Ruian People's Hospital of Wenzhou Medical College, Zhejiang, China.
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