Bimanual Microincision Cataract Surgery versus Coaxial Microincision Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials and Cohort Studies

Purpose. This meta-analysis was conducted to compare the intraoperative and postoperative outcomes of bimanual microincision cataract surgery (B-MICS) and coaxial microincision cataract surgery (C-MICS). Methods. Three databases were searched for papers that compared B-MICS and C-MICS from inception...

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Main Authors: Chenxi Fu, Naipin Chu, Xiaoning Yu, Ke Yao
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/3737603
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author Chenxi Fu
Naipin Chu
Xiaoning Yu
Ke Yao
author_facet Chenxi Fu
Naipin Chu
Xiaoning Yu
Ke Yao
author_sort Chenxi Fu
collection DOAJ
description Purpose. This meta-analysis was conducted to compare the intraoperative and postoperative outcomes of bimanual microincision cataract surgery (B-MICS) and coaxial microincision cataract surgery (C-MICS). Methods. Three databases were searched for papers that compared B-MICS and C-MICS from inception to June 2016. The following intraoperative and postoperative outcomes were included in the final meta-analysis: ultrasound time (UST), effective phacoemulsification time (EPT), balanced salt solution use (BSS use), mean surgery time, best-corrected visual acuity (BCVA), central corneal thickness (CCT), and increased CCT. Results. There were no statistically significant differences in mean surgery time, UST, BSS use, BCVA, CCT, or increased CCT (one subgroup at postoperative day 7-8 and another subgroup at postoperative day 30). However, there was less EPT needed during surgery (p<0.01) and lower levels of increased CCT at postoperative day 1 (p=0.02) in the B-MICS group compared with the C-MICS group. Conclusions. The EPT was shorter and increased CCT was less at postoperative day 1 in the B-MICS group. There were no statistically significant differences in other intraoperative and postoperative outcomes between the B-MICS group and the C-MICS group. B-MICS is an efficient and safe cataract surgery procedure.
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spelling doaj-art-ef4e7101968e42108ffef12e2b2e8fb72025-02-03T01:10:47ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/37376033737603Bimanual Microincision Cataract Surgery versus Coaxial Microincision Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials and Cohort StudiesChenxi Fu0Naipin Chu1Xiaoning Yu2Ke Yao3Eye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaPurpose. This meta-analysis was conducted to compare the intraoperative and postoperative outcomes of bimanual microincision cataract surgery (B-MICS) and coaxial microincision cataract surgery (C-MICS). Methods. Three databases were searched for papers that compared B-MICS and C-MICS from inception to June 2016. The following intraoperative and postoperative outcomes were included in the final meta-analysis: ultrasound time (UST), effective phacoemulsification time (EPT), balanced salt solution use (BSS use), mean surgery time, best-corrected visual acuity (BCVA), central corneal thickness (CCT), and increased CCT. Results. There were no statistically significant differences in mean surgery time, UST, BSS use, BCVA, CCT, or increased CCT (one subgroup at postoperative day 7-8 and another subgroup at postoperative day 30). However, there was less EPT needed during surgery (p<0.01) and lower levels of increased CCT at postoperative day 1 (p=0.02) in the B-MICS group compared with the C-MICS group. Conclusions. The EPT was shorter and increased CCT was less at postoperative day 1 in the B-MICS group. There were no statistically significant differences in other intraoperative and postoperative outcomes between the B-MICS group and the C-MICS group. B-MICS is an efficient and safe cataract surgery procedure.http://dx.doi.org/10.1155/2017/3737603
spellingShingle Chenxi Fu
Naipin Chu
Xiaoning Yu
Ke Yao
Bimanual Microincision Cataract Surgery versus Coaxial Microincision Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials and Cohort Studies
Journal of Ophthalmology
title Bimanual Microincision Cataract Surgery versus Coaxial Microincision Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials and Cohort Studies
title_full Bimanual Microincision Cataract Surgery versus Coaxial Microincision Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials and Cohort Studies
title_fullStr Bimanual Microincision Cataract Surgery versus Coaxial Microincision Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials and Cohort Studies
title_full_unstemmed Bimanual Microincision Cataract Surgery versus Coaxial Microincision Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials and Cohort Studies
title_short Bimanual Microincision Cataract Surgery versus Coaxial Microincision Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials and Cohort Studies
title_sort bimanual microincision cataract surgery versus coaxial microincision cataract surgery a meta analysis of randomized controlled trials and cohort studies
url http://dx.doi.org/10.1155/2017/3737603
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AT naipinchu bimanualmicroincisioncataractsurgeryversuscoaxialmicroincisioncataractsurgeryametaanalysisofrandomizedcontrolledtrialsandcohortstudies
AT xiaoningyu bimanualmicroincisioncataractsurgeryversuscoaxialmicroincisioncataractsurgeryametaanalysisofrandomizedcontrolledtrialsandcohortstudies
AT keyao bimanualmicroincisioncataractsurgeryversuscoaxialmicroincisioncataractsurgeryametaanalysisofrandomizedcontrolledtrialsandcohortstudies