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    When is refraction stable following routine cataract surgery? A systematic review and meta-analysis

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    Elliott_et_al_OPO_Sep_2020 (566.5Kb)
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    Publication date
    2020-09
    Author
    Charlesworth, Emily
    Alderson, Alison J.
    de Juan, V.
    Elliott, David B.
    Keyword
    Cataract surgery
    Meta-analysis
    Spectacles
    Stability
    Systematic review
    Rights
    © 2020 The Authors. Ophthalmic and Physiological Optics published by John Wiley & Sons Ltd on behalf of College of Optometrists Ophthalmic & Physiological Optics This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
    Peer-Reviewed
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    Abstract
    Purpose: We systematically reviewed the literature to investigate when refraction is stable following routine cataract surgery implanting monofocal intraocular lenses. Current advice recommends obtaining new spectacles 4–6 weeks following surgery. Due to advancements in surgical techniques, we hypothesised that refractive stability would be achieved earlier, which could have major short-term improvements in quality of life for patients. Methods: Medline, CINAHL, AMED, Embase, Web of Science and the Cochrane Library were searched with key words chosen to find articles, which assessed refraction following uncomplicated cataract surgery. Citation chains and the reference lists of all included papers were searched. Unpublished literature was identified using OpenGrey (www.opengrey.eu). The review considered studies that measured refraction at regular intervals following surgery until stability was achieved. Results: The search identified 6,680 papers. Two reviewers independently screened the abstracts and nine papers were found to fit the criteria, of which five were included in the meta-analysis. The quality of the papers was evaluated using the Methodological Index for Non-Randomised Studies (MINORS) instrument. Meta-analysis of 301 patients’ data of spherical, cylindrical and spherical equivalent correction were performed using Review Manager 5 (RevMan 5.3) (https://revman.cochrane.org/). Refraction at 1-week versus the gold standard of 4-weeks showed no significant difference for sphere data (effect size and 95% confidence interval of; ES = 0.00, 95% CI: −0.17, 0.17; p = 1.00), cylindrical data (ES = +0.06; 95% CI: −0.05, 0.17; p = 0.31), and spherical equivalent (ES = −0.01; 95% CI: −0.12, 0.10; p = 0.90). Heterogeneity was non-significant (I2 
    URI
    http://hdl.handle.net/10454/18289
    Version
    Published version
    Citation
    Charlesworth E, Alderson AJ, de Juan V et al (2020) When is refraction stable following routine cataract surgery? A systematic review and meta-analysis. Ophthalmic and Physiological Optics. 40(5): 531-539.
    Link to publisher’s version
    https://doi.org/10.1111/opo.12719
    Type
    Article
    Collections
    Life Sciences Publications

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