Cochrane · systematic review · CD010735

Laser‐assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery

Narayan, A, Evans, JR, O'Brart, D, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Eyes and Vision2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 71.4%Moderate 2 · 28.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Laser‐assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery

Population: people with age‐related cataract
CD010735.PUB3 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Intraoperative complications: anterior capsule tear
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Intraoperative complications: posterior capsule tear
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency
Corrected distance visual acuity
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRModerate
Downgraded: risk of bias, imprecision, inconsistency
Patient‐reported outcome measures (PROMs) at least 1 month after surgery
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRModerate
Downgraded: risk of bias, imprecision, inconsistency
Postoperative complications: cystoid macular oedema
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency
Costs and resource use: total duration of procedure
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency
Postoperative endothelial cell loss
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency

Laser‐assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery

Population: people with age‐related cataract
CD010735.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Intraoperative complications: anterior capsule tear
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Intraoperative complications: posterior capsule tear
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Corrected distance visual acuity
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Patient reported outcome measures (PROMs) at least one month after surgery.
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRNo studies
Postoperative complications: cystoid macular oedema
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
OR 0.58 [0.2, 1.68]NRLow
Downgraded: risk of bias, imprecision
Postoperative complications: elevated intraocular pressure (1 day to 1 week after surgery)
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
OR 0.57 [0.11, 2.86]NRLow
Downgraded: risk of bias, imprecision
Costs and resource use: total duration of procedure
Laser‐assisted cataract surgery vs standard ultrasound phacoemulsification cataract surgery
no estimate extractedNRLow
Downgraded: risk of bias, imprecision