Effect of image-guided systems in phacoemulsification with intraocular lens (IOL) implantation: a systematic review and meta-analysis.

IF 1.9 Computer assisted surgery (Abingdon, England) Pub Date : 2022-12-01 DOI:10.1080/24699322.2022.2047787

Yang Su, Min Fu, Yifan Chen, Rui Qiao, Guo-Guo Yi

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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.

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图像引导系统在超声乳化人工晶状体植入术中的作用:一项系统综述和荟萃分析。

目的:探讨图像引导系统在超声乳化人工晶状体植入术中的应用效果。方法:检索Pubmed、Embase和中国国家知识基础设施数据库(成立至2021年1月20日)。两位研究者独立提取数据并评估论文质量。比较术前、术后未矫正距离视力(UDVA)、术后最佳矫正视力(BCVA)、术前柱状体、术后残余屈光柱状体、术后角膜柱状体、IOL错位、眼内压(IOP)。结果:我们纳入14项研究，885例白内障眼。所有数据均使用Review Manager 5.3 (RevMan 5.3) (https://revman.cochrane.org/)完成。图像引导组与手工组的术前预后无显著差异。两组术后UDVA(标准平均差值(SMD: -0.11, 95% CI: -0.32 ~ 0.11, I2 = 59%， p = 0.33)、BCVA (SMD: 0.03, 95% CI: -0.12 ~ 0.18, I2 = 36%， p = 0.72)、角膜柱(加权平均差值WMD: 0.13, 95% CI: -0.06 ~ -0.32, I2 = 0%， p = 0.17)、IOP (WMD: -0.37, 95% CI: -1.36 ~ -0.62, I2 = 9%， p = 0.46)无显著差异。影像引导组的残余折射柱少于手动组(WMD: -0.20, 95% CI: -0.26 ~ -0.14, I2 = 59%， p<0.00001)。联合图像引导系统对人工晶状体的对准精度更高(WMD: -1.20, 95% CI: -1.43 ~ -0.96, I2 = 14%， p)结论:图像引导系统可提高超声乳化人工晶状体植入术的效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Computer assisted surgery (Abingdon, England)

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