Effects of manual small incision cataract surgery versus phacoemulsification on visual quality and postoperative complications: a Meta-analysis

VernacularTitle:小切口囊外白内障摘除术与超声乳化白内障吸除术对视觉质量及并发症的Meta分析
Author: Qiang GUO ; Xun SHEN ; Jingli HAN
Publication Type:Journal Article
Keywords: Cataract extraction; Phacoemulsification; Meta-analysis
From: Chinese Journal of Postgraduates of Medicine 2013;36(21):15-18
CountryChina
Language:Chinese
Abstract: Objective To evaluate the postoperative complications and visual quality after manual small incision cataract surgery (MSICS) versus phacoemulsification (PHACO).Methods A systematic review of MSICS and PHACO was conducted by a computer search on Medline,Pubmed,CBM and CNKI and a supplementary manual search was also done.The effect was measured as an odds ratio (OR) and weighted mean difference (WMD).RevMan 5.0 software was used to perform the Meta-analysis.Results A total of 9 articles were included in the Meta-analysis.Naked visual acuity at 1 week after surgery (OR =0.93,95％ CI 0.68-1.27),posterior capsular ruptured after surgery (OR =1.07,95％ CI 0.73-1.58),corneal edema after surgery (OR =0.90,95 ％ CI 0.70-1.16),surgically induced astigmatism at 1 month after surgery (WMD =0.08,95％ CI-0.02-0.17) in MSICS and PHACO was no statistically significant difference (P ＞0.05).Conclusion MSICS is safe and reliable surgery as same as PHACO for the patients with cataract,MSICS is more consistent with China' s national conditions.