外伤性白内障不同手术时机的术后并发症及疗效的Meta分析

A Meta-analysis of Postoperative Complications and Curative Effect of Traumatic Cataract with Different Surgical Timing

目的:系统评价外伤性白内障后选择不同手术时机的术后并发症及疗效。方法:计算机检索PubMed、Embase、Cochrane Library、中国知网及万方数据库,查找关于不同手术时机对于外伤性白内障的随机对照试验,由两位研究员根据纳入标准和排除标准独立筛选文献、质量评价和提取资料后,应用Review Manager 5.3软件进行Meta分析。结果:最终纳入文献10篇(中文9篇,英文1篇),共计患者550例,其中试验组275例,对照组275例。Meta分析结果显示,外伤性白内障患者选择Ⅱ期白内障摘除+人工晶体植入术术后并发症发生率更低(P<0.05),术后最佳矫正视力更好(P<0.05)。结论:外伤性白内障患者选择Ⅱ期白内障摘除+人工晶体植入术术后并发症发生率更低,术后最佳矫正视力更好。

Objective:To evaluate the postoperative complications and curative effect of traumatic cataract with different surgical timing.Method:PubMed,Embase,Cochrane Library,China Zhiwang and Wanfang database were retrieved by computer and were used to search for randomized controlled trials of different surgical timing for traumatic cataract.After two researchers independently screened of literature,quality evaluation and extraction of data according to inclusion criteria and exclusion criteria,Review Manager 5.3 software was performed using for Meta-analysis.Result:A total of 10 articles (9 articles in Chinese and 1 article in English) were included,involving 275 cases in the experimental group and 275 cases in the control group.Meta-analysis showed that the incidence of complications after stage Ⅱ cataract extraction and intraocular lens implantation was lower (P<0.05),the best corrected visual acuity was better (P<0.05).Conclusion:The patients of traumatic cataract who choose stage Ⅱ cataract extraction and intraocular lens implantation have lower incidence of postoperative complications,better best corrected visual acuity.