Safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: A meta-analysis and systematic review
Safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: A meta-analysis and systematic review
- 眼科实践与研究新进展 2022年2卷第1期 页码：100027
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1. ,Hangzhou,China,310009
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DOI：10.1016/j.aopr.2022.100027
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Safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: A meta-analysis and systematic review[J]. 眼科实践与研究新进展, 2022,2(1):100027.
Jingjie Xu, Xinyi Chen, Hanle Wang, et al. Safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: A meta-analysis and systematic review[J]. AOPR, 2022,2(1):100027.
Safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: A meta-analysis and systematic review[J]. 眼科实践与研究新进展, 2022,2(1):100027. DOI： 10.1016/j.aopr.2022.100027.
Jingjie Xu, Xinyi Chen, Hanle Wang, et al. Safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: A meta-analysis and systematic review[J]. AOPR, 2022,2(1):100027. DOI： 10.1016/j.aopr.2022.100027.
摘要
Purpose,To compare the complications of femtosecond laser-assisted cataract surgery (FLACS) with those of conventional phacoemulsification surgery (CPS) for age-related cataracts.,Methods,PubMed, Cochrane Library, and EMBASE were systematically searched for studies comparing FLACS and CPS. Outcomes were operative complications, including the intraoperative capsule tear, postoperative corneal edema, macular edema, uncontrolled IOP, etc. The effect measures were weighted with odds ratios with 95% CIs.,Results,Nineteen RCTs and 18 cohort studies, including 24,806 eyes (11,375 of the FLACS group and 13,431 of the CPS group), were identified. There were no significant differences between the two groups in anterior capsule tear, corneal edema, macular edema, uncontrolled IOP, vitreous loss, posterior vitreous detachment, etc. Posterior capsule tear rate showed a significantly lower in RCT subgroups (,P, = 0.04) and without differences in total (,P, = 0.63). Significant differences were observed in the incidence of descemet membrane tear/trauma (,P, = 0.02) and IFIS/iris trauma (,P, = 0.04. Additionally, The FLACS specific complications showed a significantly higher rate of miosis (,P, ,<, 0.0001), corneal epithelial defect (,P, = 0.001), corneal haze (,P, = 0.002), and subconjunctival hemorrhage (,P, = 0.01).,Conclusions,FLACS maintains the same safety compared with CPS in terms of all intraoperative and postoperative complications. Although FLACS did show a statistically significant difference for several FLACS specific complications, it would not influence the visual outcome and heal itself.
Abstract
Purpose,To compare the complications of femtosecond laser-assisted cataract surgery (FLACS) with those of conventional phacoemulsification surgery (CPS) for age-related cataracts.,Methods,PubMed, Cochrane Library, and EMBASE were systematically searched for studies comparing FLACS and CPS. Outcomes were operative complications, including the intraoperative capsule tear, postoperative corneal edema, macular edema, uncontrolled IOP, etc. The effect measures were weighted with odds ratios with 95% CIs.,Results,Nineteen RCTs and 18 cohort studies, including 24,806 eyes (11,375 of the FLACS group and 13,431 of the CPS group), were identified. There were no significant differences between the two groups in anterior capsule tear, corneal edema, macular edema, uncontrolled IOP, vitreous loss, posterior vitreous detachment, etc. Posterior capsule tear rate showed a significantly lower in RCT subgroups (,P, = 0.04) and without differences in total (,P, = 0.63). Significant differences were observed in the incidence of descemet membrane tear/trauma (,P, = 0.02) and IFIS/iris trauma (,P, = 0.04. Additionally, The FLACS specific complications showed a significantly higher rate of miosis (,P, ,<, 0.0001), corneal epithelial defect (,P, = 0.001), corneal haze (,P, = 0.002), and subconjunctival hemorrhage (,P, = 0.01).,Conclusions,FLACS maintains the same safety compared with CPS in terms of all intraoperative and postoperative complications. Although FLACS did show a statistically significant difference for several FLACS specific complications, it would not influence the visual outcome and heal itself.
关键词
Keywords
Femtosecond laser assisted cataract surgeryConventional phacoemulsification surgerySafetyComplicationCapsular tear rate
references
1 P. Song, H. Wang, E. Theodoratou, et al.The national and subnational prevalence of cataract and cataract blindness in China: a systematic review and meta-analysis J Glob Health, 8 (1) (2018), Article 010804, 10.7189/jogh.08-010804
2 E. Prokofyeva, A. Wegener, E. ZrennerCataract prevalence and prevention in Europe: a literature review Acta Ophthalmol, 91 (5) (2013), pp. 395-405
3 C.M. Lee, N.A. AfshariThe global state of cataract blindness Curr Opin Ophthalmol, 28 (1) (2017), p. 98
4 M. Popovic, X. Campos-Möller, M.B. Schlenker, et al.Efficacy and safety of femtosecond laser-assisted cataract surgery compared with manual cataract surgery: a meta-analysis of 14 567 eyes Ophthalmology, 123 (10) (2016), pp. 2113-2126, 10.1016/j.ophtha.2016.07.005 10.1016/j.ophtha.2016.07.005 Epub Accessed 15th Aug 2016
5 J. Xu, Q. Fu, X. Chen, et al.Advances in pharmacotherapy of cataracts Ann Transl Med, 8 (22) (2020) 1552-1552
6 X. Chen, K. Chen, J. He, et al.Comparing the curative effects between femtosecond laser-assisted cataract surgery and conventional phacoemulsification surgery: a meta-analysis PLoS One, 11 (3) (2016), Article e0152088, 10.1371/journal.pone.0152088 10.1371/journal.pone.0152088. eCollection 2016
7 T.V. Roberts, M. Lawless, C.C. Chan, et al.Femtosecond Laser Cataract Surgery: Technology and Clinical Practice Clinical & Experimental Ophthalmology (2012)
8 G. Tabin, M. Chen, L. EspandarCataract surgery for the developing world Curr Opin Ophthalmol, 19 (1) (2008), pp. 55-59
9 H.S. Uy, K. Edwards, N. CurtisFemtosecond phacoemulsification: the business and the medicine Curr Opin Ophthalmol, 23 (1) (2012), pp. 33-39
10 N.B. Baig, G.P. Cheng, J.K. Lam, et al.Intraocular pressure profiles during femtosecond laser–assisted cataract surgery J Cataract Refract Surg, 40 (11) (2014), pp. 1784-1789
11 K. Kránitz, A. Takacs, K. Miháltz, et al.Femtosecond laser capsulotomy and manual continuous curvilinear capsulorrhexis parameters and their effects on intraocular lens centration J Refract Surg, 27 (8) (2011), pp. 558-563
12 C.K. Bahler, C.R. Hann, T. Fjield, et al.Second-generation trabecular meshwork bypass stent (iStent inject) increases outflow facility in cultured human anterior segments Am J Ophthalmol, 153 (6) (2012), pp. 1206-1213
13 K. Kránitz, K. Miháltz, G.L. Sándor, et al.Intraocular lens tilt and decentration measured by Scheimpflug camera following manual or femtosecond laser–created continuous circular capsulotomy J Refract Surg, 28 (4) (2012), pp. 259-263
14 S.Y. Ewe, R.G. Abell, C.L. Oakley, et al.A comparative cohort study of visual outcomes in femtosecond laser-assisted versus phacoemulsification cataract surgery Ophthalmology, 123 (1) (2016), pp. 178-182
15 C.M. Kolb, M. Shajari, L. Mathys, et al.Comparison of femtosecond laser–assisted cataract surgery and conventional cataract surgery: a meta-analysis and systematic review J Cataract Refract Surg, 46 (8) (2020), pp. 1075-1085
16 X. Chen, W. Xiao, S. Ye, et al.Efficacy and safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: a meta-analysis of randomized controlled trials Sci Rep, 5 (2015), p. 13123, 10.1038/srep13123 10.1038/srep13123
17 M.H. Ali, S. Ullah, U. Javaid, et al.Comparison of characteristics of femtosecond laser-assisted anterior capsulotomy versus manual continuous curvilinear capsulorrhexis: a meta-analysis of 5-year results J Pakistan Med Assoc, 67 (10) (2017), pp. 1574-1579 Published 2017/09/29
18 D.W. Qian, H.K. Guo, S.L. Jin, et al.Femtosecond laser capsulotomy versus manual capsulotomy: a Meta-analysis Int J Ophthalmol, 9 (3) (2016), pp. 453-458, 10.18240/ijo.2016.03.23 10.18240/ijo.2016.03.23. eCollection 2016
19 X. Wang, Z. Zhang, X. Li, et al.Evaluation of femtosecond laser versus manual clear corneal incisions in cataract surgery using spectral-domain optical coherence tomography J Refract Surg, 34 (1) (2018), pp. 17-22, 10.3928/1081597X-20171109-01
20 E. Chlasta-Twardzik, A. Nowinska, E. WylegalaComparison of the selected parameters of the anterior segment of the eye between femtosecond laser-assisted cataract surgery, microincision cataract surgery, and conventional phacoemulsification: a case-control study Medicine (Baltim), 98 (52) (2019), Article e18340, 10.1097/MD.0000000000018340
21 H.W. Roberts, V.K. Wagh, D.L. Sullivan, et al.A randomized controlled trial comparing femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery J Cataract Refract Surg, 45 (1) (2019), pp. 11-20, 10.1016/j.jcrs.2018.08.033
22 V.A. Vasavada, S. Vasavada, A.R. Vasavada, et al.Comparative evaluation of femtosecond laser-assisted cataract surgery and conventional phacoemulsification in eyes with a shallow anterior chamber J Cataract Refract Surg, 45 (5) (2019), pp. 547-552, 10.1016/j.jcrs.2018.11.037
23 Y. Zhu, X. Chen, P. Chen, et al.Lens capsule-related complications of femtosecond laser-assisted capsulotomy versus manual capsulorhexis for white cataracts J Cataract Refract Surg, 45 (3) (2019), pp. 337-342, 10.1016/j.jcrs.2018.10.037
24 A.C. Day, J.M. Burr, K. Bennett, et al.Femtosecond laser-assisted cataract surgery versus phacoemulsification cataract surgery (fact): a randomized noninferiority trial Ophthalmology, 127 (8) (2020), pp. 1012-1019, 10.1016/j.ophtha.2020.02.028
25 D. Dzhaber, O. Mustafa, F. Alsaleh, et al.Comparison of changes in corneal endothelial cell density and central corneal thickness between conventional and femtosecond laser-assisted cataract surgery: a randomised, controlled clinical trial Br J Ophthalmol, 104 (2) (2020), pp. 225-229, 10.1136/bjophthalmol-2018-313723 10.1136/bjophthalmol-2018-313723 Epub 2019 May 16
26 D. Dzhaber, O.M. Mustafa, F. Alsaleh, et al.Visual and refractive outcomes and complications in femtosecond laser-assisted versus conventional phacoemulsification cataract surgery: findings from a randomised, controlled clinical trial Br J Ophthalmol, 104 (11) (2020), pp. 1596-1600, 10.1136/bjophthalmol-2019-314548
27 C. Schweitzer, A. Brezin, B. Cochener, et al.Femtosecond laser-assisted versus phacoemulsification cataract surgery (FEMCAT): a multicentre participant-masked randomised superiority and cost-effectiveness trial Lancet, 395 (10219) (2020), pp. 212-224, 10.1016/S0140-6736(19)32481-X
28 A.C. Day, J.M. Burr, K. Bennett, et al.Femtosecond laser-assisted cataract surgery compared with phacoemulsification: the FACT non-inferiority RCT Health Technol Assess, 25 (6) (2021), pp. 1-68, 10.3310/hta25060
29 R.G. Abell, N.M. Kerr, B.J. VoteFemtosecond laser-assisted cataract surgery compared with conventional cataract surgery Clin Exp Ophthalmol, 41 (5) (2013), pp. 455-462, 10.1111/ceo.12025
30 I. Conrad-Hengerer, M. Al Juburi, T. Schultz, et al.Corneal endothelial cell loss and corneal thickness in conventional compared with femtosecond laser-assisted cataract surgery: three-month follow-up J Cataract Refract Surg, 39 (9) (2013), pp. 1307-1313, 10.1016/j.jcrs.2013.05.033
31 K.P. Reddy, J. Kandulla, G.U. AuffarthEffectiveness and safety of femtosecond laser-assisted lens fragmentation and anterior capsulotomy versus the manual technique in cataract surgery J Cataract Refract Surg, 39 (9) (2013), p. 129, 10.1016/j.jcrs.2013.05.035 {Reddy, 2013 #2170}2017-2306
32 R.G. Abell, P.E.J. Davies, D. Phelan, et al.Anterior capsulotomy integrity after femtosecond laser-assisted cataract surgery Ophthalmology, 121 (1) (2014), pp. 17-24, 10.1016/j.ophtha.2013.08.013
33 S.M. Daya, M.A. Nanavaty, M.M. Espinosa-LaganaTranslenticular hydrodissection, lens fragmentation, and influence on ultrasound power in femtosecond laser-assisted cataract surgery and refractive lens exchange J Cataract Refract Surg, 40 (1) (2014), pp. 37-43, 10.1016/j.jcrs.2013.07.040
34 R.G. Abell, E. Darian-Smith, J.B. Kan, et al.Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery: outcomes and safety in more than 4000 cases at a single center J Cataract Refract Surg, 41 (1) (2015), pp. 47-52, 10.1016/j.jcrs.2014.06.025 10.1016/j.jcrs.2014.06.025 Epub 2014 Nov 11
35 I. Conrad-Hengerer, M. Al Sheikh, F.H. Hengerer, et al.Comparison of visual recovery and refractive stability between femtosecond laser-assisted cataract surgery and standard phacoemulsification: six-month follow-up J Cataract Refract Surg, 41 (7) (2015), pp. 1356-1364, 10.1016/j.jcrs.2014.10.044
36 S.Y. Ewe, C.L. Oakley, R.G. Abell, et al.Cystoid macular edema after femtosecond laser-assisted versus phacoemulsification cataract surgery J Cataract Refract Surg, 41 (11) (2015), pp. 2373-2378, 10.1016/j.jcrs.2015.04.031
37 A.Y. Yu, L.Y. Ni, Q.M. Wang, et al.Preliminary clinical investigation of cataract surgery with a noncontact femtosecond laser system Laser Surg Med, 47 (9) (2015), pp. 698-703, 10.1002/lsm.22405
38 S.Y. Ewe, R.G. Abell, C.L. Oakley, et al.A comparative cohort study of visual outcomes in femtosecond laser-assisted versus phacoemulsification cataract surgery Ophthalmology, 123 (1) (2016), pp. 178-182, 10.1016/j.ophtha.2015.09.026
39 S. Manning, P. Barry, Y. Henry, et al.Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery: study from the European Registry of quality outcomes for cataract and refractive surgery J Cataract Refract Surg, 42 (12) (2016), pp. 1779-1790, 10.1016/j.jcrs.2016.10.013
40 A.S. Mursch-Edlmayr, M. Bolz, N. Luft, et al.Intraindividual comparison between femtosecond laser-assisted and conventional cataract surgery J Cataract Refract Surg, 43 (2) (2017), pp. 215-222, 10.1016/j.jcrs.2016.11.046
41 T.B. Ferreira, F.J. Ribeiro, J. Pinheiro, et al.Comparison of surgically induced astigmatism and morphologic features resulting from femtosecond laser and manual clear corneal incisions for cataract surgery J Refract Surg, 34 (5) (2018), pp. 322-329, 10.3928/1081597X-20180301-01
42 H.W. Roberts, V.K. Wagh, I.J.M. Mullens, et al.Evaluation of a hub-and-spoke model for the delivery of femtosecond laser-assisted cataract surgery within the context of a large randomised controlled trial Br J Ophthalmol, 102 (11) (2018), pp. 1556-1563, 10.1136/bjophthalmol-2017-311319 10.1136/bjophthalmol-2017-311319 Epub 2018 Feb 7
43 N. Stanojcic, H.W. Roberts, V.K. Wagh, et al.A randomised controlled trial comparing femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: 12-month results Br J Ophthalmol, 105 (5) (2021), pp. 631-638, 10.1136/bjophthalmol-2020-316311
44 Y. Oka, N. Sasaki, V.P. InjevComparison of femtosecond laser-assisted cataract surgery and conventional phacoemulsification on endothelial cell density when using torsional modality Clin Ophthalmol, 15 (2021), pp. 4227-4237, 10.2147/OPTH.S329935
45 B. Hansen, P.H. Blomquist, P. Ririe, et al.Outcomes of resident-performed laser-assisted vs traditional phacoemulsification J Cataract Refract Surg, 46 (9) (2020), pp. 1273-1277, 10.1097/j.jcrs.0000000000000253
46 A.C. Day, J.M. Burr, K. Bennett, et al.Femtosecond laser-assisted cataract surgery compared with phacoemulsification cataract surgery: randomized noninferiority trial with 1-year outcomes J Cataract Refract Surg, 46 (10) (2020), pp. 1360-1367, 10.1097/j.jcrs.0000000000000257
47 J.S. Titiyal, M. Kaur, P. Ramesh, et al.Impact of clear corneal incision morphology on incision-site descemet membrane detachment in conventional and femtosecond laser-assisted phacoemulsification Curr Eye Res, 43 (3) (2018), pp. 293-299, 10.1080/02713683.2017.1396616
48 H.W. Roberts, V.K. Wagh, D.L. Sullivan, et al.Refractive outcomes after limbal relaxing incisions or femtosecond laser arcuate keratotomy to manage corneal astigmatism at the time of cataract surgery J Cataract Refract Surg, 44 (8) (2018), pp. 955-963, 10.1016/j.jcrs.2018.05.027
49 J. Chen, D. Wang, J. Zheng, et al.Efficacy of femtosecond laser-assisted phacoemulsification for cataract patients and its influence on serum levels of inflammatory factors J Coll Physicians Surg Pak, 29 (2) (2019), pp. 123-127, 10.29271/jcpsp.2019.02.123
50 J. Villavilla-Castillo, C. Perez-Casaseca, E. Espejo-de-Los-Riscos, et al.Study of the efficiency and workflow of femtosecond laser-assisted cataract surgery in a Spanish public hospital J Fr Ophtalmol, 44 (8) (2021), pp. 1190-1201, 10.1016/j.jfo.2021.01.030
51 G.B. Zhang, X.Y. Ye, W. Chen, et al.Clinic analysis of femtosecond laser-assisted cataract surgery Zhonghua Yan Ke Za Zhi, 52 (2) (2016), pp. 93-98, 10.3760/cma.j.issn.0412-4081.2016.02.004
52 A.C. Day, J.M. Burr, K. Bennett, et al.Femtosecond laser-assisted cataract surgery compared with phacoemulsification cataract surgery: randomized noninferiority trial with 1-year outcomes J Cataract Refract Surg, 46 (10) (2020), pp. 1360-1367, 10.1097/j.jcrs.0000000000000257
53 N. Stanojcic, H.W. Roberts, V.K. Wagh, et al.A randomised controlled trial comparing femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: 12-month results Br J Ophthalmol, 105 (5) (2021), pp. 631-638, 10.1136/bjophthalmol-2020-316311
54 Q.S. Gao, X. Di, W. HeClinical application of femtosecond laser assisted cataract surgery combined with triple-focus intraocular lens implantation in the treatment of cataract Int Eye Sci, 18 (3) (2018), pp. 491-494, 10.3980/j.issn.1672-5123.2018.3.20
55 M. Liu, G. Zeng, Z.X. ChengEffects of femtosecond laser assisted cataract surgery and the prognosis of patients Int Eye Sci, 16 (8) (2016), pp. 1557-1560, 10.3980/j.issn.1672-5123.2016.8.42
56 B. Yang, F.L. Yuan, Y. Sun, et al.Femtosecond laser-assisted phacoemulsification combined with multifocal intraocular lens implantation in the treatment of cataract Int Eye Sci, 19 (9) (2019), pp. 1528-1531, 10.3980/j.issn.1672-5123.2019.9.19
57 Y.J. Zheng, C.M. Zhao, X.Y. Liu, et al.Clinical evaluation of femtosecond laser-assisted phacoemulsification in the treatment of cataract with shallow anterior chamber Int Eye Sci, 22 (1) (2022), pp. 87-90, 10.3980/j.issn.1672-5123.2022.1.18
58 R.G. Abell, E. Darian-Smith, J.B. Kan, et al.Femtosecond laser–assisted cataract surgery versus standard phacoemulsification cataract surgery: outcomes and safety in more than 4000 cases at a single center J Cataract Refract Surg, 41 (1) (2015), pp. 47-52
59 C.M. Kolb, M. Shajari, L. Mathys, et al.Comparison of femtosecond laser-assisted cataract surgery and conventional cataract surgery: a meta-analysis and systematic review J Cataract Refract Surg (2020) Publish Ahead of Print(8):1
60 Carmen L. Oakley, S.Y. Ewe, P.L. Allen, et al.Visual outcomes with femtosecond laser-assisted cataract surgery versus conventional cataract surgery in toric IOL insertion Clin Exp Ophthalmol, 44 (2016), pp. 570-573
61 J. Wang, F. Su, Y. Wang, et al.Intra and post-operative complications observed with femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: a systematic review and meta-analysis BMC Ophthalmol, 19 (2019)
62 C. Latz, T. Asshauer, C. Rathjen, et al.Femtosecond-laser assisted surgery of the eye: overview and impact of the low-energy concept Micromachines, 12 (2) (2021), p. 122, 10.3390/mi12020122
63 T. Schultz, S.C. Joachim, M. Stellbogen, et al.Prostaglandin release during femtosecond laser-assisted cataract surgery: main inducer J Refract Surg, 31 (2) (2015), pp. 78-81, 10.3928/1081597x-20150122-01
64 T. Schultz, S.C. Joachim, M. Szuler, et al.NSAID pretreatment inhibits prostaglandin release in femtosecond laser-assisted cataract surgery J Refract Surg, 31 (12) (2015), pp. 791-794, 10.3928/1081597X-20151111-01
65 Y. Yu, H. Hua, M. Wu, et al.Evaluation of dry eye after femtosecond laser-assisted cataract surgery J Cataract Refract Surg, 41 (12) (2015), pp. 2614-2623, 10.1016/j.jcrs.2015.06.036
66 J.P.T. Higgins, J. Savović, M.J. Page, et al.Assessing risk of bias in a randomized trial J.P.T.T.J. Higgins, J. Chandler, M. Cumpston, T. Li, M.J. Page, V.A. Welch (Eds.), Cochrane Handbook for Systematic Reviews of Interventions Version 6.2 (2021) (updated February 2021), Cochrane
67 J. Peterson, V. Welch, M. Losos, et al.The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses Ottawa Hospital Research Institute, Ottawa (2011), pp. 1-12
68 G.A. Wells, B. Shea, D. O'Connell, et al.The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised Stud meta-analyses (2000) Oxford
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