Surgical management of intraocular lens dislocation: A meta-analysis

PloS One
Shangfei YangWei Fan

Abstract

To compare the efficacy and safety of intraocular lens (IOL) repositioning and IOL exchange for the treatment of patients with IOL dislocation. We systematically searched for relevant publications in English or Chinese in MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, WHO International Clinical Trial Registration Platform, Clinical Trial.gov, China Biology Medicine Database, China National Knowledge Infrastructure Database and grey literature sources. Study quality was assessed using the STROBE template for observational studies and the Cochrane template for randomized controlled trials (RCTs). Data were meta-analyzed using RevMan 5.3. The review included 14 English-language studies reporting 1 RCT and 13 retrospective case series involving 1,082 eyes. Average follow-up time was 13.7 months. Pooled analysis of 10 studies showed that the two procedures had a similarly effect on best corrected visual acuity (MD -0.00, 95%CI: -0.08 to 0.08, P = 0.99). Pooled analysis of nine studies showed no significant difference in incidence of IOL redislocation (RR 2.12, 95%CI 0.85 to 5.30, P = 0.11); pooled analysis of seven studies showed greater extent of incidence of cystoid macular edema in IOL exchange (RR 0.47, 95%...Continue Reading

References

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Citations

Jul 10, 2020·Ocular Immunology and Inflammation·N P JonesL R Steeples
Oct 17, 2020·Vestnik oftalmologii·Yu N YusefS A Shashorina
Oct 17, 2020·Vestnik oftalmologii·Yu N YusefN Yu Shkolyarenko
Apr 22, 2021·Vestnik oftalmologii·Y N BatkovA V Antoshin
Mar 23, 2021·Journal of Cataract and Refractive Surgery·Olav KristianslundLiv Drolsum

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Software Mentioned

RevMan
STROBE
RevMan5
Stata

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