{"title":"Effect of image-guided systems in phacoemulsification with intraocular lens (IOL) implantation: a systematic review and meta-analysis.","authors":"Yang Su, Min Fu, Yifan Chen, Rui Qiao, Guo-Guo Yi","doi":"10.1080/24699322.2022.2047787","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To explore the effect of image-guided systems in phacoemulsification with intraocular lens (IOL) implantation.</p><p><strong>Methods: </strong>We searched Pubmed, Embase and China National Knowledge Infrastructure (inception to January 20, 2021). Two researchers extracted data and assessed paper quality independently. Uncorrected distance visual acuity (UDVA) before and after surgery, best corrected visual acuity (BCVA) before and after surgery, preoperative cylinder, postoperative residual refractive cylinder, postoperative corneal cylinder, IOL misalignment, and intraocular pressure (IOP) were compared.</p><p><strong>Results: </strong>We included 14 studies with 885 cataract eyes. All data were performed using Review Manager 5.3 (RevMan 5.3) (https://revman.cochrane.org/). Cases of all preoperative outcomes showed no significant difference between image-guided group and manual group. There was no significant difference in postoperative UDVA (Standard mean difference (SMD: -0.11, 95% CI: -0.32 to 0.11, <i>I</i><sup>2</sup> = 59%, <i>p</i> = 0.33)), BCVA (SMD: 0.03, 95% CI: -0.12 to 0.18, <i>I</i><sup>2</sup> = 36%, <i>p</i> = 0.72), corneal cylinder (Weighted mean difference WMD: 0.13, 95% CI: -0.06 to -0.32, <i>I</i><sup>2</sup> = 0%, <i>p</i> = 0.17), IOP (WMD: -0.37, 95% CI: -1.36 to -0.62, <i>I</i><sup>2</sup> = 9%, <i>p</i> = 0.46) between two groups. There was less residual refractive cylinder in image-guided group than in manual group (WMD: -0.20, 95% CI: -0.26 to -0.14, <i>I</i><sup>2</sup> = 59%, <i>p</i><0.00001). It is more accurate in IOL alignment when combined with image-guided systems (WMD: -1.20, 95% CI: -1.43 to -0.96, <i>I</i><sup>2</sup> = 14%, <i>p</i> < 0.00001).</p><p><strong>Conclusion: </strong>Image-guided systems can improve the effect in phacoemulsification with intraocular lens (IOL) implantation.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"4-14"},"PeriodicalIF":16.4000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/24699322.2022.2047787","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To explore the effect of image-guided systems in phacoemulsification with intraocular lens (IOL) implantation.
Methods: We searched Pubmed, Embase and China National Knowledge Infrastructure (inception to January 20, 2021). Two researchers extracted data and assessed paper quality independently. Uncorrected distance visual acuity (UDVA) before and after surgery, best corrected visual acuity (BCVA) before and after surgery, preoperative cylinder, postoperative residual refractive cylinder, postoperative corneal cylinder, IOL misalignment, and intraocular pressure (IOP) were compared.
Results: We included 14 studies with 885 cataract eyes. All data were performed using Review Manager 5.3 (RevMan 5.3) (https://revman.cochrane.org/). Cases of all preoperative outcomes showed no significant difference between image-guided group and manual group. There was no significant difference in postoperative UDVA (Standard mean difference (SMD: -0.11, 95% CI: -0.32 to 0.11, I2 = 59%, p = 0.33)), BCVA (SMD: 0.03, 95% CI: -0.12 to 0.18, I2 = 36%, p = 0.72), corneal cylinder (Weighted mean difference WMD: 0.13, 95% CI: -0.06 to -0.32, I2 = 0%, p = 0.17), IOP (WMD: -0.37, 95% CI: -1.36 to -0.62, I2 = 9%, p = 0.46) between two groups. There was less residual refractive cylinder in image-guided group than in manual group (WMD: -0.20, 95% CI: -0.26 to -0.14, I2 = 59%, p<0.00001). It is more accurate in IOL alignment when combined with image-guided systems (WMD: -1.20, 95% CI: -1.43 to -0.96, I2 = 14%, p < 0.00001).
Conclusion: Image-guided systems can improve the effect in phacoemulsification with intraocular lens (IOL) implantation.
期刊介绍:
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.