Implantable Collamer Lens Versus Iris-Fixed Phakic Intraocular Lens Implantation to Correct Myopia: A Meta-Analysis
Identifieur interne : 001129 ( Main/Exploration ); précédent : 001128; suivant : 001130Implantable Collamer Lens Versus Iris-Fixed Phakic Intraocular Lens Implantation to Correct Myopia: A Meta-Analysis
Auteurs : Guan-Lu Liang [République populaire de Chine] ; Jing Wu [République populaire de Chine] ; Jun-Ting Shi [République populaire de Chine] ; Jian Liu [République populaire de Chine] ; Feng-Ying He [République populaire de Chine] ; Wen Xu [République populaire de Chine]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
This study is a meta-analysis comparing the efficacy, predictability, and safety of correcting myopia via implantation of two types of phakic intraocular lens (PIOLs): the implantable collamer lens (ICL) and iris-fixed PIOL. The Cochrane library, Pubmed, and EMBASE were searched. Study selection, data exclusion, and quality assessment were performed by two independent observers. The pooled relative risk (RR), pooled standardized mean difference (SMD), and their 95% confidence intervals (CIs) were used to compare lenses. Seven studies, involving 511 eyes, were included. The pooled SMD in postoperative uncorrected distance visual acuity (UDVA) comparing ICLs to iris-fixed PIOLs was −0.22 (95% CI, −0.58 to 0.13;
Url:
DOI: 10.1371/journal.pone.0104649
PubMed: 25115906
PubMed Central: 4130551
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implantable Collamer Lens Versus Iris-Fixed Phakic Intraocular Lens Implantation to Correct Myopia: A Meta-Analysis</title><author><name sortKey="Liang, Guan Lu" sort="Liang, Guan Lu" uniqKey="Liang G" first="Guan-Lu" last="Liang">Guan-Lu Liang</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Jing" sort="Wu, Jing" uniqKey="Wu J" first="Jing" last="Wu">Jing Wu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="Shi, Jun Ting" sort="Shi, Jun Ting" uniqKey="Shi J" first="Jun-Ting" last="Shi">Jun-Ting Shi</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Ophthalmology, the 1st Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Ophthalmology, the 1st Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Jian" sort="Liu, Jian" uniqKey="Liu J" first="Jian" last="Liu">Jian Liu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="He, Feng Ying" sort="He, Feng Ying" uniqKey="He F" first="Feng-Ying" last="He">Feng-Ying He</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Wen" sort="Xu, Wen" uniqKey="Xu W" first="Wen" last="Xu">Wen Xu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25115906</idno><idno type="pmc">4130551</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4130551</idno><idno type="RBID">PMC:4130551</idno><idno type="doi">10.1371/journal.pone.0104649</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002365</idno><idno type="wicri:Area/Pmc/Curation">002365</idno><idno type="wicri:Area/Pmc/Checkpoint">000B86</idno><idno type="wicri:Area/Ncbi/Merge">003202</idno><idno type="wicri:Area/Ncbi/Curation">003202</idno><idno type="wicri:Area/Ncbi/Checkpoint">003202</idno><idno type="wicri:Area/Main/Merge">001131</idno><idno type="wicri:Area/Main/Curation">001129</idno><idno type="wicri:Area/Main/Exploration">001129</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implantable Collamer Lens Versus Iris-Fixed Phakic Intraocular Lens Implantation to Correct Myopia: A Meta-Analysis</title><author><name sortKey="Liang, Guan Lu" sort="Liang, Guan Lu" uniqKey="Liang G" first="Guan-Lu" last="Liang">Guan-Lu Liang</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Jing" sort="Wu, Jing" uniqKey="Wu J" first="Jing" last="Wu">Jing Wu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="Shi, Jun Ting" sort="Shi, Jun Ting" uniqKey="Shi J" first="Jun-Ting" last="Shi">Jun-Ting Shi</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Ophthalmology, the 1st Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Ophthalmology, the 1st Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Jian" sort="Liu, Jian" uniqKey="Liu J" first="Jian" last="Liu">Jian Liu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="He, Feng Ying" sort="He, Feng Ying" uniqKey="He F" first="Feng-Ying" last="He">Feng-Ying He</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Wen" sort="Xu, Wen" uniqKey="Xu W" first="Wen" last="Xu">Wen Xu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Eye Center, the 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang</wicri:regionArea><wicri:noRegion>Zhejiang</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This study is a meta-analysis comparing the efficacy, predictability, and safety of correcting myopia via implantation of two types of phakic intraocular lens (PIOLs): the implantable collamer lens (ICL) and iris-fixed PIOL. The Cochrane library, Pubmed, and EMBASE were searched. Study selection, data exclusion, and quality assessment were performed by two independent observers. The pooled relative risk (RR), pooled standardized mean difference (SMD), and their 95% confidence intervals (CIs) were used to compare lenses. Seven studies, involving 511 eyes, were included. The pooled SMD in postoperative uncorrected distance visual acuity (UDVA) comparing ICLs to iris-fixed PIOLs was −0.22 (95% CI, −0.58 to 0.13; <italic>P</italic> = .22). The pooled RR values of UDVA of 20/20 or better and of 20/40 or better comparing ICLs to iris-fixed PIOLs were 1.15 (95% CI, 0.89 to 1.47; <italic>P</italic> = .29) and 1.01 (95% CI, 0.95 to 1.08; <italic>P</italic> = .75), respectively. The pooled RR of loss of best spectacle-corrected visual acuity (BSCVA) and gain in BSCVA comparing ICLs to iris-fixed PIOLs were 1.20 (95% CI, 0.24 to 6.00; <italic>P</italic> = .82) and 1.14 (95% CI, 0.89 to 1.48; <italic>P</italic> = .31), respectively. The pooled RR comparing ICLs to iris-fixed PIOLs was 0.78 (95% CI, 0.29 to 2.12; <italic>P</italic> = .63) for all reported complications and 2.80 (95% CI, 1.04 to 7.52; <italic>P</italic> = .04) for severe complications. The pooled RR of achieving a result within ±0.5 D (diopter) of the intended target comparing ICLs to iris-fixed PIOLs was 1.35 (95% CI, 1.04 to 1.77; <italic>P</italic> = .03). Overall, there is no significant difference in efficacy between the two types of PIOLs or in safety, except that the ICL is associated with a greater incidence of severe complications, especially anterior subcapsular cataract, primarily in the Version 2 and Version 3 groups. 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sortKey="Probst, L" uniqKey="Probst L">L Probst</name></author><author><name sortKey="Rafuse, Pe" uniqKey="Rafuse P">PE Rafuse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guell, Jl" uniqKey="Guell J">JL Guell</name></author><author><name sortKey="Morral, M" uniqKey="Morral M">M Morral</name></author><author><name sortKey="Kook, D" uniqKey="Kook D">D Kook</name></author><author><name sortKey="Kohnen, T" uniqKey="Kohnen T">T Kohnen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sharpe, D" uniqKey="Sharpe D">D Sharpe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dupps, Wj" uniqKey="Dupps W">WJ Dupps</name></author><author><name sortKey="Kohnen, T" uniqKey="Kohnen T">T Kohnen</name></author><author><name sortKey="Mamalis, N" uniqKey="Mamalis N">N Mamalis</name></author><author><name sortKey="Rosen, Es" uniqKey="Rosen E">ES Rosen</name></author><author><name sortKey="Koch, Dd" uniqKey="Koch D">DD Koch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Waring, Go" uniqKey="Waring G">GO Waring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kamiya, K" uniqKey="Kamiya K">K Kamiya</name></author><author><name sortKey="Shimizu, K" uniqKey="Shimizu K">K Shimizu</name></author><author><name sortKey="Komatsu, M" uniqKey="Komatsu M">M Komatsu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Liang, Guan Lu" sort="Liang, Guan Lu" uniqKey="Liang G" first="Guan-Lu" last="Liang">Guan-Lu Liang</name></noRegion><name sortKey="He, Feng Ying" sort="He, Feng Ying" uniqKey="He F" first="Feng-Ying" last="He">Feng-Ying He</name><name sortKey="Liu, Jian" sort="Liu, Jian" uniqKey="Liu J" first="Jian" last="Liu">Jian Liu</name><name sortKey="Shi, Jun Ting" sort="Shi, Jun Ting" uniqKey="Shi J" first="Jun-Ting" last="Shi">Jun-Ting Shi</name><name sortKey="Wu, Jing" sort="Wu, Jing" uniqKey="Wu J" first="Jing" last="Wu">Jing Wu</name><name sortKey="Xu, Wen" sort="Xu, Wen" uniqKey="Xu W" first="Wen" last="Xu">Wen Xu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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