Sheppard William E A, McCarrick Dane, Wilkie Richard M, Baraas Rigmor C, Coats Rachel O
University of Leeds, Leeds, United Kingdom.
Front Aging. 2022 Jun 22;3:866823. doi: 10.3389/fragi.2022.866823. eCollection 2022.
Cataract removal surgery is one of the most commonly performed surgical procedure in developed countries. The financial and staff resource cost that first-eye cataract surgery incurs, leads to restricted access to second-eye cataract surgery (SES) in some areas, including the United Kingdom. These restrictions have been imposed despite a lack of knowledge about the impact of not performing SES on visuo-motor function. To this end, a systematic literature review was carried out, with the aim of synthesising our present understanding of the effects of SES on motor function. Key terms were searched across four databases, PsycINFO, Medline, Web of Science, and CINAHL. Of the screened studies ( = 499) 13 met the eligibility criteria. The homogeneity between participants, study-design and outcome measures across these studies was not sufficient for meta-analyses and a narrative synthesis was carried out. The evidence from objective sources indicates a positive effect of SES on both mobility and fall rates, however, when considering self-report measures, the reduction in falls associated with SES becomes negligible. The evidence for any positive effect of SES on driving is also mixed, whereby SES was associated with improvements in simulated driving performance but was not associated with changes in driving behaviours measured through in vehicle monitoring. Self-report measures of driving performance also returned inconsistent results. Whilst SES appears to be associated with a general trend towards improved motor function, more evidence is needed to reach any firm conclusions and to best advise policy regarding access to SES in an ageing population. https://osf.io/7hne6/, identifier INPLASY2020100042.
白内障摘除手术是发达国家最常开展的外科手术之一。单眼白内障手术所产生的财务和人力资源成本，导致包括英国在内的一些地区接受双眼白内障手术（SES）的机会受到限制。尽管对未进行双眼白内障手术对视动功能的影响缺乏了解，但这些限制措施仍被实施。为此，开展了一项系统的文献综述，旨在综合我们目前对双眼白内障手术对运动功能影响的理解。在PsycINFO、Medline、Web of Science和CINAHL这四个数据库中检索了关键词。在筛选出的499项研究中，有13项符合纳入标准。这些研究在参与者、研究设计和结果测量方面的同质性不足以进行荟萃分析，因此进行了叙述性综合分析。客观来源的证据表明，双眼白内障手术对行动能力和跌倒率都有积极影响，然而，在考虑自我报告测量时，与双眼白内障手术相关的跌倒减少变得微不足道。关于双眼白内障手术对驾驶有任何积极影响的证据也存在分歧，即双眼白内障手术与模拟驾驶性能的改善有关，但与通过车内监测测量的驾驶行为变化无关。驾驶性能的自我报告测量结果也不一致。虽然双眼白内障手术似乎与运动功能改善的总体趋势相关，但需要更多证据才能得出任何确凿结论，并为老龄化人口中获得双眼白内障手术的政策提供最佳建议。https://osf.io/7hne6/，标识符INPLASY2020100042 。
