Review Article

A Meta-Analysis Comparing Postoperative Complications and Outcomes of Femtosecond Laser-Assisted Cataract Surgery versus Conventional Phacoemulsification for Cataract

Table 1

Characteristics of studies included in the meta-analysis.

StudyAreaFollow-upDesignn, age
(experimental)
n, age (control)Main outcomesComplications

Takacs et al. [11]Hungary4 weeksProspective case-control38, 65.8 (12.4) ys38, 66.9 (11.0) ysCentral corneal thickness,
endothelial cell count
NA
Kranitz et al. [13]Hungary48 weeksProspective, randomized study20, 68.2 (10.8) ys25, 63.6 (13.7) ysRefractive outcomesNA
Filkorn et al. [12]Germany1 monthProspective case-control77, 65.2 (12.6) ys57, 64.4 (12.4) ysCDVA and refractiveNA
Abell et al. [7]Tasmania3 weeksProspective, consecutive,
single-surgeon case-control
150,72.8 (10.5) ys51, 71.8 (10.8) ysCorneal endothelial cell loss,
CDVA, intraocular pressure,
and refractive outcomes
NA
Conrad-Hengerer
et al. [5]
Germany3 monthsRandomized intraindividual
cohort study
73, 70.9 ys73, 70.9 ysEndothelial cell counts and
corneal thickness
FLACS: EIP in 3 eyes;
macular edema in 2 eyes
CPCS: EIP in 2 eyes,
macular edema in 5 eyes
Mastropasqua
et al. [6]
Italy24 weeksProspective randomized study30, 70.2 (2.9) ys30, 70.5 (3.2) ysUDVA, CDVA, and corneal
endothelial cell counts
NA
Mastropasqua
et al. [14]
Italy24 weeksProspective randomized
clinical study
60, 69.3 (3.2) ys30, 69.1 (3.9) ysUDVA, CDVA, refractive outcomesNA
Krarup et al. [17]Denmark3 monthsProspective case-control4747UDVA, CDVA, central corneal
endothelialcell count
NA
Conrad-Hengerer
et al. [15]
Germany6 monthsProspective randomized
intraindividual cohort study
100, 71.6 ys100, 71.6 ysManifest refraction, corrected
distance visual acuity, and
anterior chamber depth
FLACS: 1 eye developed
macular edema; EIP in 3 eyes;
CPCS: 2 eyes developed
macular edema, 1 eye developed
subclinical macular edema,
EIP in 2 eyes
Yu et al. [16]China3 monthsProspective study25, 62.3 (11.6) ys29, 56.5 (16.6) ysCDVA, refractive outcomesFLACS: pupil miosis in 1 eye,
mild subconjunctival
hemorrhage in 5 eyes,
EIP in 1 eye;
CPCS: posterior capsular
opacification in 2 eyes

ys: years; FLACS: femtosecond laser-assisted cataract surgery; UDVA: uncorrected distance visual acuity; CDVA: corrected distance visual acuity; EIP: elevated intraocular pressure; NA: not available.