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Effect of Nd: YAG laser capsulotomy on the risk for retinal detachment after cataract surgery: systematic review and meta-analysis.
- Source :
-
Journal of Cataract & Refractive Surgery . Feb2022, Vol. 48 Issue 2, p238-244. 7p. - Publication Year :
- 2022
-
Abstract
- This study aimed to evaluate the impact of Nd:YAG laser capsulotomy on the incidence of pseudophakic retinal detachment (RD). The PubMed and Embase databases were searched for meta-analysis. Subgroup analyses were conducted according to study location, number of cases, mean follow-up time, and cataract procedure. The final analysis included 11 studies with 309 cases of RD in 65 117 eyes undergoing cataract surgery. Among them, 8232 eyes underwent Nd:YAG capsulotomy. This analysis demonstrated an increased risk for RD with Nd:YAG laser capsulotomy (relative risk [RR], 1.57; 95% CI, 1.17-2.12; P =.003; hazard ratio, 1.64; 95% CI, 1.03-2.62; P =.04). Subgroup analysis suggested somewhat stronger associations in Asian (RR, 4.54; 95% CI, 2.20-9.38; P <.0001) than in non-Asian populations (Americans, P =.12; Europeans and others, P =.21) and with extracapsular cataract extraction (RR, 2.97; 95% CI, 1.83-4.83; P <.0001) than with phacoemulsification (P =.95). To conclude, Nd:YAG laser capsulotomy may be associated with an increased risk for pseudophakic RD. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08863350
- Volume :
- 48
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of Cataract & Refractive Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 155019619
- Full Text :
- https://doi.org/10.1097/j.jcrs.0000000000000755