From the British Columbia Injury Research and Prevention Unit (Ishikawa, Kerr, Pike), Child and Family Research Institute, British Columbia Children's Hospital, the Department of Pediatrics (Ishikawa, Pike, Puri), Department of Emergency Medicine (Desapriya), University of British Columbia, Vancouver General Hospital/Centre for Clinical Epidemiology and Evaluations, and MD Undergraduate Program (Kerr, Hewapathirane), Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
J Cataract Refract Surg. 2013 Oct;39(10):1593-603. doi: 10.1016/j.jcrs.2013.08.033.
The aim of this systematic review was to synthesize and appraise the evidence of benefits of second-eye cataract extraction for visual function, patient-reported quality of life, falls, and driving ability among the elderly. We conducted a comprehensive search in MEDLINE using "surgery," "cataract extraction," "second eye," and "bilateral." Ten studies met the inclusion and quality criteria. We found "moderate" evidence supporting improvement in stereopsis, stereoacuity, and anisometropia over and above the benefits of first-eye surgery. We also found "moderate" evidence supporting improvement in visual acuity, contrast sensitivity, and self-reported visual functioning. Studies included in the review do not provide definitive evidence of second-eye surgery benefits on health-related quality of life, visual fields, falls prevention, and driving performance. However, the heterogeneity of outcome measures and the limited number of studies likely contributed to our findings. The findings have implications for clinicians and policymakers in the health-care industry and emphasize the need for additional trials examining this important and widely performed clinical procedure.
No author has a financial or proprietary interest in any material or method mentioned.
本系统评价旨在综合评价老年人第二只眼白内障摘除术对视觉功能、患者报告的生活质量、跌倒和驾驶能力的益处，并对其进行评估。我们使用“手术”、“白内障摘除术”、“第二只眼”和“双眼”在 MEDLINE 上进行了全面检索。有 10 项研究符合纳入和质量标准。我们发现有“中等”证据支持在第一只眼手术后的益处之外，改善了立体视、深度知觉和屈光参差。我们还发现有“中等”证据支持改善视力、对比敏感度和自我报告的视觉功能。本综述中包括的研究并没有提供关于健康相关生活质量、视野、跌倒预防和驾驶表现的第二只眼手术益处的明确证据。然而，结果衡量标准的异质性和研究数量有限可能导致了我们的发现。这些发现对医疗保健行业的临床医生和决策者具有影响，并强调需要进行更多的试验来检验这一重要且广泛应用的临床手术。
没有作者在任何提到的材料或方法中有财务或所有权利益。
