A systematic review and meta-analysis on intraocular lens implantation with different performances for the treatment of cataract

doi:10.21037/apm-21-3767

科研成果详情

名称	A systematic review and meta-analysis on intraocular lens implantation with different performances for the treatment of cataract
作者	Chi, Qihong 1; Yang, Tao 2; Chen, Yang 3
发表期刊	ANNALS OF PALLIATIVE MEDICINE
语种	英语
原始文献类型	Review
关键词	Astigmatism intraocular lens (IOL) cataract curative effect meta-analysis
其他关键词	CORNEAL RELAXING INCISIONS ; CORRECT ASTIGMATISM ; OUTCOMES ; SURGERY ; EYES ; MODERATE
摘要	Background: Cataract is one of the common eye diseases. At present, Phacoemulsification combined with traditional intraocular lens (IOL) implantation can achieve satisfactory rejuvenation effects. I lowever, the correction of corneal astigmatism is limited, while Toric IOL implantation can provide good astigmatism correction treatment. Methods: We retrieved randomized controlled trials (RCTs) on the treatment of cataracts published in the PubMed, EBSCO, MEDLINE, EMBASE, Science Direct, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang, and Weipu databases. Professional journals were searched manually to avoid omissions. The research subject search terms included cataract, astigmatism, IOL, and intraocular lens. The observation indicators search terms induded uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (BDVA), residual corneal astigmatism, and cataract cure rate. Results: A total of 12 articles were included. The articles were tested for heterogeneity of UDVA measured using the Logarithm of Mininal Angle Resolution (LogMAR) visual acuity chart, and the results showed that Chi-squared test (Chi(2)) =75.21, degree of freedom (df) =11, and I-2=85%>50%, so the random effects model (REM) was adopted for analysis. The results indicated that the differences between the Toric and Non-Toric IOL groups statistically significant, and the Toric IOL group had a significant therapeutic effect [Z =2.18, mean difference (MD) =-0.05, 95% confidential interval (CI): -0.09, -0.00, P=0.03]. The fixed effects model (FIRM) was adopted to analyze the determination of BDVA by LogMAR visual acuity chart in 6 articles. The results suggested that the difference between the Toric IOL and non-Toric IOL groups was not statistically significant (Z =0.29, MD =-0.00, 95% CI: -0.02, 0.01, P=0.77). Heterogeneity analysis was performed on three articles in terms of residual corneal astigmatism, which showed that Chi(2)=75.55, df =3, I-2 =96%>50%, and P<0.00001. The REM analysis results revealed that the difference between the two groups was not statistically significant, and the Toric IOL group had low residual corneal astigmatism (Z =1.35, MD =-0.34, 95% CI: -0.83, 0.15, P=0.18). Discussion: The meta-analysis results confirmed that Toric IOL implantation showed obvious advantages in improving UDVA and corneal residual astigmatism in cataract patients.
出版者	AME PUBL CO
出版地	SHATIN
ISSN	2224-5820
EISSN	2224-5839
卷号	11
期号	1
页码	260-271
DOI	10.21037/apm-21-3767
页数	12
WOS类目	Health Care Sciences & Services
WOS研究方向	Health Care Sciences & Services
WOS记录号	WOS:000747350300001
收录类别	SCIE
发布日期	2022
Pubmed记录号	35144417
引用统计	被引频次[WOS]：0 [WOS记录] [WOS相关记录]
文献类型	其他
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/154851
专题	其他_附属温岭医院（温岭市第一人民医院）其他_附属台州医院（浙江省台州医院）
通讯作者	Chen, Yang
作者单位	1.Wenzhou Med Univ, Wenling Hosp, Dept Ophthalmol, Wenling, Peoples R China; 2.Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Ophthalmol, Taizhou, Peoples R China; 3.Taizhou First Peoples Hosp, Dept Ophthalmol, Taizhou, Peoples R China
第一作者单位	附属温岭医院（温岭市第一人民医院）
推荐引用方式 GB/T 7714	Chi, Qihong,Yang, Tao,Chen, Yang. A systematic review and meta-analysis on intraocular lens implantation with different performances for the treatment of cataract. 2022.