Ali Muhammad Hassaan, Ullah Samee, Javaid Usman, Javaid Mamoona, Jamal Samreen, Butt Nadeem Hafeez
Department of Ophthalmology, Allama Iqbal Medical College, Jinnah Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2017 Oct;67(10):1574-1579.
To perform a meta-analysis on the precision and safety of femtosecond laser-assisted anterior capsulotomy versus conventional manual continuous curvilinear capsulorrhexis.
This meta-analysis was conducted from February 2010 to November 2014. Literature search on PubMed, Google Scholar, ExcerptaMedica database and Cochrane Library was done to identify randomised controlled trials and case-control studies. SPSS 20 was used for data analysis.
Of the 10 articles included, there were 3(30%) randomised controlled trials and 7(70%) non-randomised controlled trials. The meta-analysis was based on a total of 2,882eyes. Of them, 1,498(51.97%) underwent femtosecond laser-assisted capsulotomy and 1,384(48.02%) underwent manual continuous curvilinear capsulorrhexis. The diameter of the capsulotomy and the rates of anterior capsule tear showed no statistical difference between the femtosecond laser group and the manual capsulorrhexis group (p=0.29 and p=0.68). In terms of circularity of capsulotomy, femtosecond laser group had a more significant advantage than the manual capsulorrhexis group (p<0.001).
Femtosecond laser performed capsulotomy with more precision and higher reliability than the manual continuous curvilinear capsulorrhexis.
对飞秒激光辅助前囊切开术与传统手法连续环形撕囊术的精确性和安全性进行荟萃分析。
本荟萃分析于2010年2月至2014年11月进行。在PubMed、谷歌学术、医学文摘数据库和考克兰图书馆进行文献检索，以识别随机对照试验和病例对照研究。使用SPSS 20进行数据分析。
纳入的10篇文章中，有3篇（30%）为随机对照试验，7篇（70%）为非随机对照试验。荟萃分析基于总共2882只眼。其中，1498只眼（51.97%）接受了飞秒激光辅助囊切开术，1384只眼（48.02%）接受了手法连续环形撕囊术。飞秒激光组和手法撕囊组之间，囊切开术的直径和前囊撕裂率无统计学差异（p = 0.29和p = 0.68）。在囊切开术的圆形度方面，飞秒激光组比手法撕囊组具有更显著的优势（p < 0.001）。
与手法连续环形撕囊术相比，飞秒激光进行囊切开术具有更高的精确性和可靠性。
