Femtosecond laser-assisted cataract surgery versus conventional phacoemulsification: A meta-analysis of randomized controlled trials.
Eur J Ophthalmol
; 34(5): 1458-1468, 2024 Sep.
Article
en En
| MEDLINE
| ID: mdl-38291620
ABSTRACT
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.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Extracción de Catarata
/
Agudeza Visual
/
Facoemulsificación
/
Terapia por Láser
Tipo de estudio:
Clinical_trials
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Eur J Ophthalmol
/
Eur. j. ophthalmol
/
European journal of ophthalmology
Asunto de la revista:
OFTALMOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
México