Effect of Hydrophobic Acrylic versus Hydrophilic Acrylic Intraocular Lens on Posterior Capsule Opacification: Meta-Analysis
Identifieur interne : 002A76 ( Ncbi/Curation ); précédent : 002A75; suivant : 002A77Effect of Hydrophobic Acrylic versus Hydrophilic Acrylic Intraocular Lens on Posterior Capsule Opacification: Meta-Analysis
Auteurs : Ying Li [République populaire de Chine] ; Jiaxing Wang [République populaire de Chine] ; Zhuo Chen [République populaire de Chine] ; Xin Tang [République populaire de Chine]Source :
- PLoS ONE [ 1932-6203 ] ; 2013.
Abstract
This meta-analysis aims to evaluate the differences in performance of posterior capsular opacification (PCO) between hydrophobic acrylic intraocular lens (IOLs) and hydrophilic acrylic IOLs.
Tianjin Medical University, Tianjin Eye Hospital, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin, China.
Systematic review of randomized controlled trials (RCTs) or meta-analysis.
An electronic literature search was performed using the PubMed, EMBASE and Cochrane Library database before May in 2013 to identify prospective RCTs comparing hydrophobic acrylic IOLs and hydrophilic acrylic IOLs in patients after phacoemulsification with IOL implantation with a follow-up time of at least 1 year. Pertinent studies were selected by meeting predefined criteria and reviewed systematically by meta-analysis. The PCO scores and YAG capsulotomy rate, as indicator of PCO, were measured and discussed in a meta-analysis. Standardized mean differences (SMD), relative risk ratio (RR), and the pooled estimates were computed according to a random effect model or fixed effect model.
Nine prospective RCTs involving 861 eyes were included in the current meta-analysis. The hydrophobic acrylic IOLs were favored and the pooled SMD of PCO severity was1.72 (95% confidence interval (CI), 0.20 to 1.23,
Compared with hydrophilic acrylic IOLs, the hydrophobic acrylic IOLs showed superior reduction in rates of PCO and laser capsulotomy in 2-year follow-up. More RCTs with standard methods for longer follow-up are needed to validate the association.
Url:
DOI: 10.1371/journal.pone.0077864
PubMed: 24223736
PubMed Central: 3818402
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PMC:3818402Le document en format XML
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<author><name sortKey="Li, Ying" sort="Li, Ying" uniqKey="Li Y" first="Ying" last="Li">Ying Li</name>
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<author><name sortKey="Wang, Jiaxing" sort="Wang, Jiaxing" uniqKey="Wang J" first="Jiaxing" last="Wang">Jiaxing Wang</name>
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<author><name sortKey="Tang, Xin" sort="Tang, Xin" uniqKey="Tang X" first="Xin" last="Tang">Xin Tang</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>This meta-analysis aims to evaluate the differences in performance of posterior capsular opacification (PCO) between hydrophobic acrylic intraocular lens (IOLs) and hydrophilic acrylic IOLs.</p>
</sec>
<sec><title>Setting</title>
<p>Tianjin Medical University, Tianjin Eye Hospital, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin, China.</p>
</sec>
<sec><title>Design</title>
<p>Systematic review of randomized controlled trials (RCTs) or meta-analysis.</p>
</sec>
<sec><title>Methods</title>
<p>An electronic literature search was performed using the PubMed, EMBASE and Cochrane Library database before May in 2013 to identify prospective RCTs comparing hydrophobic acrylic IOLs and hydrophilic acrylic IOLs in patients after phacoemulsification with IOL implantation with a follow-up time of at least 1 year. Pertinent studies were selected by meeting predefined criteria and reviewed systematically by meta-analysis. The PCO scores and YAG capsulotomy rate, as indicator of PCO, were measured and discussed in a meta-analysis. Standardized mean differences (SMD), relative risk ratio (RR), and the pooled estimates were computed according to a random effect model or fixed effect model.</p>
</sec>
<sec><title>Results</title>
<p>Nine prospective RCTs involving 861 eyes were included in the current meta-analysis. The hydrophobic acrylic IOLs were favored and the pooled SMD of PCO severity was1.72 (95% confidence interval (CI), 0.20 to 1.23, <italic>P</italic>
= 0.0002) and 1.79 (95% CI, 0.95 to 2.64, <italic>P</italic>
<0.0001) with 1-year follow-up and 2-year follow-up respectively. The pooled RR of Nd:YAG laser capsulotomy rates at postoperative 2-year follow-up was 6.96 (95% CI, 3.69 to 13.11, <italic>P</italic>
<0.00001) comparing hydrophilic acrylic IOLs with hydrophobic acrylic IOLs.</p>
</sec>
<sec><title>Conclusions</title>
<p>Compared with hydrophilic acrylic IOLs, the hydrophobic acrylic IOLs showed superior reduction in rates of PCO and laser capsulotomy in 2-year follow-up. More RCTs with standard methods for longer follow-up are needed to validate the association.</p>
</sec>
</div>
</front>
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