Cochrane · systematic review · CD012801
Toric intraocular lens versus limbal relaxing incisions for corneal astigmatism after phacoemulsification
Lake, JC, Victor, G, Clare, G, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Eyes and VisionAMSTAR 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 2 · 28.6%Low 3 · 42.9%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
Toric intraocular lens (IOL) compared to limbal relaxing incisions (LRIs) for corneal astigmatism after cataract surgery (phacoemulsification)
Population: people with astigmatism who are having cataract surgery (phacoemulsification)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Postoperative residual refractive astigmatism of less than 0.50 D Toric intraocular lens (IOL) vs limbal relaxing incisions (LRIs) | RR 1.4 [1.1, 1.78] | 5 studies · 262 participants | Moderate Downgraded: risk of bias |
Postoperative residual refractive astigmatism in dioptres Toric intraocular lens (IOL) vs limbal relaxing incisions (LRIs) | no estimate extracted | 10 studies · 620 participants | Low Downgraded: risk of bias, inconsistency |
Uncorrected postoperative distance visual acuity (logMAR) LogMAR score ranges from –1.3 to +1.3 with lower scores representing better vision (logMAR of 0 = 6/6 visual acuity) Toric intraocular lens (IOL) vs limbal relaxing incisions (LRIs) | no estimate extracted | 8 studies · 474 participants | Moderate Downgraded: risk of bias |
Spectacle independence for distance as reported by the participant Toric intraocular lens (IOL) vs limbal relaxing incisions (LRIs) | RR 1.56 [1.14, 2.15] | 2 studies · 100 participants | Low Downgraded: risk of bias, publication bias |
Vision‐related quality of life measured using the VF‐14 index Scale 0–100: 0 = unable to do all applicable activities because of vision and 100 = able to do all applicable activities because of vision) Toric intraocular lens (IOL) vs limbal relaxing incisions (LRIs) | no estimate extracted | 1 study · 40 participants | Low Downgraded: risk of bias, imprecision |
Adverse effects: postoperative lens rotation requiring second procedure to re‐align toric IOL Toric intraocular lens (IOL) vs limbal relaxing incisions (LRIs) | no estimate extracted | 5 studies · 318 participants | Very low Downgraded: risk of bias, imprecision |
Adverse effects: other Toric intraocular lens (IOL) vs limbal relaxing incisions (LRIs) | no estimate extracted | 6 studies · 410 participants | Very low Downgraded: risk of bias, imprecision |