Wu Jing, Yang Changping, Yin Yan, Liu Linlin, Wang Hui
Department of Ophthalmology, Li Shui Municipal Central Hospital, Lishui, Zhejiang, China.
Gannan Medical University, Ganzhou, Jiangxi, China.
J Ophthalmol. 2022 Jan 27;2022:6699596. doi: 10.1155/2022/6699596. eCollection 2022.
To analyze the pooled incidence rate in repositioning surgery by considering different materials and designs.
All published studies investigating the repositioning surgery of toric intraocular lenses (IOLs) before September 1, 2020, were searched and evaluated. The R3.5.2 software was used to extract the data, and a single arm meta-analysis was performed.
19 cases from 18 published studies articles were included in the meta-analysis. The pooled incidence rate in repositioning surgery was 2% ( = 53%, <0.01). Plate and silicone IOLs had significantly higher incidence rates (6% for each) than loop (2%) and hydrophobic acrylate (2%). Incidence rates of Acrysof, Staar, TECNIS, PhysIOL SA, T-flex 623T, and Microsil 6116TU groups were 1% (95% CI [1%-2%]), 6% (95% CI [4%-9%]), 3% (95% CI [2%-4%]), 1.40% (1/71), 3.03% (1/33), and 4.76% (1/21), respectively.
The pooled incidence rate of repositioning surgery in IOLs was 2%. Materials and designs would be risk factors for the rotational stability of the toric IOLs. Pooled incidence rates of the hydrophobic acrylate and loop group were lower than those of the silicone and plate group. Product identity is the main driver of heterogeneity.
通过考虑不同材料和设计来分析晶状体复位手术的合并发生率。
检索并评估2020年9月1日前发表的所有关于复曲面人工晶状体（IOL）复位手术的研究。使用R3.5.2软件提取数据，并进行单臂荟萃分析。
荟萃分析纳入了18篇已发表研究文章中的19例病例。晶状体复位手术的合并发生率为2%（I² = 53%，P <0.01）。板式和硅胶IOL的发生率（各为6%）显著高于袢式（2%）和疏水性丙烯酸酯式（2%）。Acrysof、Staar、TECNIS、PhysIOL SA、T-flex 623T和Microsil 6116TU组的发生率分别为1%（95%CI[1%-2%]）、6%（95%CI[4%-9%]）、3%（95%CI[2%-4%]）、1.40%（1/71）、3.03%（1/33）和4.76%（1/21）。
IOL复位手术的合并发生率为2%。材料和设计是复曲面IOL旋转稳定性的危险因素。疏水性丙烯酸酯组和袢式组的合并发生率低于硅胶组和板式组。产品特性是异质性的主要驱动因素。
