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Non-penetrating filtration surgery versus trabeculectomy in postoperative astigmatism: a meta-analysis.
Peng, Xiangting; Ling, Qiying; Duan, Xuanchu.
Afiliação
  • Peng X; Aier Eye Hospital, Jinan University, Guangzhou, Guangdong Province, China.
  • Ling Q; Aier Eye Hospital, Jinan University, Guangzhou, Guangdong Province, China.
  • Duan X; Changsha Aier Eye Hospital, No.188 South Furong Road, Changsha, Hunan, 410015, China.
BMC Ophthalmol ; 24(1): 381, 2024 Aug 28.
Article em En | MEDLINE | ID: mdl-39198787
ABSTRACT

OBJECTIVE:

Trabeculectomy and non-penetrating trabecular surgery are common operations for glaucoma. This meta-analysis aims to compare the effect of trabeculectomy and non-penetrating trabecular surgery in postoperative astigmatism of patients with glaucoma.

METHODS:

A systematic literature search was performed for studies comparing trabeculectomy and non-penetrating trabecular surgery in patients with glaucoma. The time frame for the search was from the time of construction to April 2024. There were no restrictions regarding study type or type of glaucoma. The endpoint was the surgically induced astigmatism assessed 6 months after operation. We conducted this meta-analysis following the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis).

RESULTS:

Five eligible studies were included in this meta-analysis and presented data for 359 eyes with various types of glaucoma at different stages. The results revealed an increase in astigmatism in patients with glaucoma after trabeculectomy and non-penetrating trabecular surgery. Trabeculectomy had a higher incidence of astigmatism than in the non-penetrating trabecular surgery group at or around 6 months postoperatively, and the difference was statistically significant. (SMD = 0.40, 95% CI = 0.19 to 0.61, P = 0.02).

CONCLUSION:

Our results demonstrated that both trabeculectomy and non-penetrating trabecular surgery could increase astigmatism until 6 months after operation. Moreover, non-penetrating trabecular surgery group seems to have less influence on astigmatism. TRIAL REGISTRATION NUMBER CRD42024517708.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Astigmatismo / Trabeculectomia / Glaucoma Limite: Humans Idioma: En Revista: BMC Ophthalmol Assunto da revista: OFTALMOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Astigmatismo / Trabeculectomia / Glaucoma Limite: Humans Idioma: En Revista: BMC Ophthalmol Assunto da revista: OFTALMOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China País de publicação: Reino Unido