Femtosecond laser capsulotomy versus manual capsulotomy： a Meta-analysis  

作　　者：Dao-Wei Qian Hai-Ke Guo Shang-Li Jin Hong-Yang Zhang Yuan-Cun Li 

机构地区：[1]Southern Medical University,Guangzhou 510515,Guangdong Province,China [2]Department of Ophthalmology,Guangdong General Hospital/Guangdong Academy of Medical Sciences,Guangzhou 510080,Guangdong Province,China [3]Department of Ophthalmology,Pingshan New District People's Hopital of Shenzhen,Shenzhen 518118,Guangdong Province,China

出　　处：《International Journal of Ophthalmology(English edition)》2016年第3期453-458,共6页国际眼科杂志（英文版）

摘　　要：AIM：To perform a Meta-analysis on the precision and safety of femtosecond laser（FSL） capsulotomy compared with manual continuous curvilinear capsulotomy（CCC）.· METHODS：We searched PubMed,EMBASE,Web of Science,the Cochrane Library databases,and Clinical Trials.gov that maintained our inclusion criteria.Reference lists of retrieved articles were also reviewed.The effects of morphology of capsulorhexis and the tears of anterior capsule were calculated by using randomeffect models.· RESULTS：We identified 4 randomized and 7nonrandomized studies involving 2941 eyes.The diameter of capsulotomy and the rates of anterior capsule tear showed no statistically difference between FSL group and manual group（MD=0.03;95%CI,-0.03 to0.09,P=0.31）,and（OR=1.40;95%CI,0.28 to 6.97,P=0.68） respectively.In terms of the circularity of capsulotomy,FSL group had a more significant advantage than the manual CCC group（MD=0.09;95%CI,0.05 to 0.12,P〈0.001）.· CONCLUSION：Our Meta-analysis shows that FSL can perform a capsulotomy with more precision and higher reliability than manual CCC.The results in diameter of capsulotomy and the rate of anterior capsule tears was no significant difference between FSL and manual CCC groups.However in terms of circularity,the FSL was superior to the manual procedure.AIM：To perform a Meta-analysis on the precision and safety of femtosecond laser（FSL） capsulotomy compared with manual continuous curvilinear capsulotomy（CCC）.· METHODS：We searched PubMed,EMBASE,Web of Science,the Cochrane Library databases,and Clinical Trials.gov that maintained our inclusion criteria.Reference lists of retrieved articles were also reviewed.The effects of morphology of capsulorhexis and the tears of anterior capsule were calculated by using randomeffect models.· RESULTS：We identified 4 randomized and 7nonrandomized studies involving 2941 eyes.The diameter of capsulotomy and the rates of anterior capsule tear showed no statistically difference between FSL group and manual group（MD=0.03;95%CI,-0.03 to0.09,P=0.31）,and（OR=1.40;95%CI,0.28 to 6.97,P=0.68） respectively.In terms of the circularity of capsulotomy,FSL group had a more significant advantage than the manual CCC group（MD=0.09;95%CI,0.05 to 0.12,P〈0.001）.· CONCLUSION：Our Meta-analysis shows that FSL can perform a capsulotomy with more precision and higher reliability than manual CCC.The results in diameter of capsulotomy and the rate of anterior capsule tears was no significant difference between FSL and manual CCC groups.However in terms of circularity,the FSL was superior to the manual procedure.

关 键 词：femtosecond laser cataract surgery capsulotomy/capsulorhexis PHACOEMULSIFICATION META-ANALYSIS 

分 类 号：R779.6[医药卫生—眼科]