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Meta-Analysis
. 2022 Feb 1;48(2):238-244.
doi: 10.1097/j.jcrs.0000000000000755.

Effect of Nd:YAG laser capsulotomy on the risk for retinal detachment after cataract surgery: systematic review and meta-analysis

Huayan Liu  1 , Xianjie Liu, Yutong Chen, Danfeng Wang, Yongshan Li, Haijie Chen, Xiaoli Ma
Affiliations
Meta-Analysis

Effect of Nd:YAG laser capsulotomy on the risk for retinal detachment after cataract surgery: systematic review and meta-analysis

Huayan Liu et al. J Cataract Refract Surg. .

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.

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References

    1. Blindness GBD, Vision Impairment C, Vision Loss Expert Group of the Global Burden of Disease S. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health 2021;9:e144–e160
    1. Liu Y-C, Wilkins M, Kim T, Malyugin B, Mehta JS. Cataracts. Lancet 2017;390:600–612
    1. Qureshi MH, Steel DHW. Retinal detachment following cataract phacoemulsification—a review of the literature. Eye (Lond) 2020;34:616–631
    1. Bjerrum SS, Mikkelsen KL, La Cour M. Risk of pseudophakic retinal detachment in 202,226 patients using the fellow nonoperated eye as reference. Ophthalmology 2013;120:2573–2579
    1. Boberg-Ans G, Villumsen J, Henning V. Retinal detachment after phacoemulsification cataract extraction. J Cataract Refractive Surg 2005;29:1333–1338

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