Meta-analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensation
AIM: To compare the efficacy of and without small incision lenticule extraction(SMILE)with cyclotorsion compensation for astigmatism correction.METHODS: PubMed, Web of Science, EMBASE, Cochrane and CNKI, VIP, CBM, and Wan Fang Data were searched for clinically controlled studies from January 2010 to...
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| Format: | Article |
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Press of International Journal of Ophthalmology (IJO PRESS)
2023-05-01
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| Series: | Guoji Yanke Zazhi |
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| Online Access: | http://ies.ijo.cn/cn_publish/2023/5/202305016.pdf |
| _version_ | 1797837841174102016 |
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| author | Zhi-Feng Lu Zi-Chen Wang Jia-Jun Lu Jia-Jia Zhou Ying Yu Shu Liang |
| author_facet | Zhi-Feng Lu Zi-Chen Wang Jia-Jun Lu Jia-Jia Zhou Ying Yu Shu Liang |
| author_sort | Zhi-Feng Lu |
| collection | DOAJ |
| description | AIM: To compare the efficacy of and without small incision lenticule extraction(SMILE)with cyclotorsion compensation for astigmatism correction.METHODS: PubMed, Web of Science, EMBASE, Cochrane and CNKI, VIP, CBM, and Wan Fang Data were searched for clinically controlled studies from January 2010 to August 2022, including an experimental group with cyclotorsion compensation during SMILE and a control group without cyclotorsion compensation during SMILE. After literature screening, quality evaluation, and data extraction by two researchers independently, the Meta-analysis of uncorrected distance visual acuity(UDVA), residual astigmatism, vector analysis indicators for measuring the astigmatism correction including absolute value of angle of error(|AE|)and magnitude error(ME), and post-operative total higher order aberrations, spherical aberration and coma was carried out with Stata 16.0 software.RESULTS: Seven studies with a total of 846 eyes(442 in the experimental group, 404 in the control group)were finally included. The Meta-analysis showed that there were significant differences in the percentage of eyes with residual astigmatism ≥1.00D(OR=0.17, 95%CI: 0.06～0.49, P<0.01), |AE|(WMD=-1.56, 95%CI: -2.68～-0.45, P<0.01), the coma(WMD=0.06, 95%CI: -0.08～-0.04, P<0.01), and the total higher order aberrations(WMD=-0.04, 95%CI: -0.06～-0.02, P<0.01). However, there were no differences in the postoperative UDVA(WMD=0.00, 95%CI: -0.02～0.01, P=0.54), residual astigmatism(WMD=0.08, 95%CI: -0.02～0.18, P=0.10), ME(WMD=-0.01, 95%CI: -0.14～0.12, P=0.85), and the spherical aberration(WMD=0.03, 95%CI: -0.07～0.13, P=0.52).CONCLUSION: Cyclotorsion compensation in SMILE can reduce the angular error caused by eye rotation during astigmatism correction. It also decreases postoperative residual astigmatism. Overall, the SMILE with cyclotorsion compensation is superior in clinical efficacy of the precise correction of astigmatism. |
| first_indexed | 2024-04-09T15:32:15Z |
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| id | doaj.art-5e0d19f6778e44dd9122bcff45d8a4dc |
| institution | Directory Open Access Journal |
| issn | 1672-5123 |
| language | English |
| last_indexed | 2024-04-09T15:32:15Z |
| publishDate | 2023-05-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
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| series | Guoji Yanke Zazhi |
| spelling | doaj.art-5e0d19f6778e44dd9122bcff45d8a4dc2023-04-28T06:27:01ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-05-0123579780310.3980/j.issn.1672-5123.2023.5.16202305016Meta-analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensationZhi-Feng Lu0Zi-Chen Wang1Jia-Jun Lu2Jia-Jia Zhou3Ying Yu4Shu Liang5Department of Ophthalmology, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China; Medical School of Nantong University, Nantong 226001, Jiangsu Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China; Medical School of Nantong University, Nantong 226001, Jiangsu Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China; Medical School of Nantong University, Nantong 226001, Jiangsu Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China; Medical School of Nantong University, Nantong 226001, Jiangsu Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China; Medical School of Nantong University, Nantong 226001, Jiangsu Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China; Medical School of Nantong University, Nantong 226001, Jiangsu Province, ChinaAIM: To compare the efficacy of and without small incision lenticule extraction(SMILE)with cyclotorsion compensation for astigmatism correction.METHODS: PubMed, Web of Science, EMBASE, Cochrane and CNKI, VIP, CBM, and Wan Fang Data were searched for clinically controlled studies from January 2010 to August 2022, including an experimental group with cyclotorsion compensation during SMILE and a control group without cyclotorsion compensation during SMILE. After literature screening, quality evaluation, and data extraction by two researchers independently, the Meta-analysis of uncorrected distance visual acuity(UDVA), residual astigmatism, vector analysis indicators for measuring the astigmatism correction including absolute value of angle of error(|AE|)and magnitude error(ME), and post-operative total higher order aberrations, spherical aberration and coma was carried out with Stata 16.0 software.RESULTS: Seven studies with a total of 846 eyes(442 in the experimental group, 404 in the control group)were finally included. The Meta-analysis showed that there were significant differences in the percentage of eyes with residual astigmatism ≥1.00D(OR=0.17, 95%CI: 0.06～0.49, P<0.01), |AE|(WMD=-1.56, 95%CI: -2.68～-0.45, P<0.01), the coma(WMD=0.06, 95%CI: -0.08～-0.04, P<0.01), and the total higher order aberrations(WMD=-0.04, 95%CI: -0.06～-0.02, P<0.01). However, there were no differences in the postoperative UDVA(WMD=0.00, 95%CI: -0.02～0.01, P=0.54), residual astigmatism(WMD=0.08, 95%CI: -0.02～0.18, P=0.10), ME(WMD=-0.01, 95%CI: -0.14～0.12, P=0.85), and the spherical aberration(WMD=0.03, 95%CI: -0.07～0.13, P=0.52).CONCLUSION: Cyclotorsion compensation in SMILE can reduce the angular error caused by eye rotation during astigmatism correction. It also decreases postoperative residual astigmatism. Overall, the SMILE with cyclotorsion compensation is superior in clinical efficacy of the precise correction of astigmatism.http://ies.ijo.cn/cn_publish/2023/5/202305016.pdfsmall incision lenticule extractionastigmatismcyclotorsion compensationmeta analysis |
| spellingShingle | Zhi-Feng Lu Zi-Chen Wang Jia-Jun Lu Jia-Jia Zhou Ying Yu Shu Liang Meta-analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensation Guoji Yanke Zazhi small incision lenticule extraction astigmatism cyclotorsion compensation meta analysis |
| title | Meta-analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensation |
| title_full | Meta-analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensation |
| title_fullStr | Meta-analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensation |
| title_full_unstemmed | Meta-analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensation |
| title_short | Meta-analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensation |
| title_sort | meta analysis of the efficacy of small incision lenticule extraction for astigmatism correction after cyclotorsion compensation |
| topic | small incision lenticule extraction astigmatism cyclotorsion compensation meta analysis |
| url | http://ies.ijo.cn/cn_publish/2023/5/202305016.pdf |
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