Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis
The aim of the present systematic review was to examine the benefits and harms associated with immediate sequential bilateral cataract surgery (ISBCS) with specific emphasis on the rate of complications, postoperative anisometropia, and subjective visual function in order to formulate evidence-based...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/912481 |
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| _version_ | 1832545689367740416 |
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| author | Line Kessel Jens Andresen Ditte Erngaard Per Flesner Britta Tendal Jesper Hjortdal |
| author_facet | Line Kessel Jens Andresen Ditte Erngaard Per Flesner Britta Tendal Jesper Hjortdal |
| author_sort | Line Kessel |
| collection | DOAJ |
| description | The aim of the present systematic review was to examine the benefits and harms associated with immediate sequential bilateral cataract surgery (ISBCS) with specific emphasis on the rate of complications, postoperative anisometropia, and subjective visual function in order to formulate evidence-based national Danish guidelines for cataract surgery. A systematic literature review in PubMed, Embase, and Cochrane central databases identified three randomized controlled trials that compared outcome in patients randomized to ISBCS or bilateral cataract surgery on two different dates. Meta-analyses were performed using the Cochrane Review Manager software. The quality of the evidence was assessed using the GRADE method (Grading of Recommendation, Assessment, Development, and Evaluation). We did not find any difference in the risk of complications or visual outcome in patients randomized to ISBCS or surgery on two different dates. The quality of evidence was rated as low to very low. None of the studies reported the prevalence of postoperative anisometropia. In conclusion, we cannot provide evidence-based recommendations on the use of ISBCS due to the lack of high quality evidence. Therefore, the decision to perform ISBCS should be taken after careful discussion between the surgeon and the patient. |
| format | Article |
| id | doaj-art-050c400c15c847cba6e637b8e2c1706d |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-050c400c15c847cba6e637b8e2c1706d2025-02-03T07:24:50ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/912481912481Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-AnalysisLine Kessel0Jens Andresen1Ditte Erngaard2Per Flesner3Britta Tendal4Jesper Hjortdal5Department of Ophthalmology, Rigshospitalet-Glostrup, 2600 Glostrup, DenmarkSkanderborg Eye Clinic, 8660 Skanderborg, DenmarkDepartment of Ophthalmology, Næstved Hospital, 4700 Næstved, DenmarkOdense Eye Clinic, 5000 Odense C, DenmarkDanish Health and Medicines Authority, 2300 Copenhagen S, DenmarkDepartment of Ophthalmology, Aarhus University Hospital NBG, 8000 Aarhus, DenmarkThe aim of the present systematic review was to examine the benefits and harms associated with immediate sequential bilateral cataract surgery (ISBCS) with specific emphasis on the rate of complications, postoperative anisometropia, and subjective visual function in order to formulate evidence-based national Danish guidelines for cataract surgery. A systematic literature review in PubMed, Embase, and Cochrane central databases identified three randomized controlled trials that compared outcome in patients randomized to ISBCS or bilateral cataract surgery on two different dates. Meta-analyses were performed using the Cochrane Review Manager software. The quality of the evidence was assessed using the GRADE method (Grading of Recommendation, Assessment, Development, and Evaluation). We did not find any difference in the risk of complications or visual outcome in patients randomized to ISBCS or surgery on two different dates. The quality of evidence was rated as low to very low. None of the studies reported the prevalence of postoperative anisometropia. In conclusion, we cannot provide evidence-based recommendations on the use of ISBCS due to the lack of high quality evidence. Therefore, the decision to perform ISBCS should be taken after careful discussion between the surgeon and the patient.http://dx.doi.org/10.1155/2015/912481 |
| spellingShingle | Line Kessel Jens Andresen Ditte Erngaard Per Flesner Britta Tendal Jesper Hjortdal Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis Journal of Ophthalmology |
| title | Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis |
| title_full | Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis |
| title_fullStr | Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis |
| title_short | Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis |
| title_sort | immediate sequential bilateral cataract surgery a systematic review and meta analysis |
| url | http://dx.doi.org/10.1155/2015/912481 |
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