INTRODUCTION: Cataract accounts for over 47% of blindness worldwide, causing blindness in about 17.3 million people in 1990. Surgery for cataract in people with glaucoma may affect glaucoma control. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of surgery for age-related cataract without other ocular comorbidity? What are the effects of treatment for age-related cataract in people with glaucoma? What are the effects of surgical treatments for age-related cataract in people with diabetic retinopathy? We searched: Medline, Embase, The Cochrane Library, and other important databases up to October 2007 (BMJ Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). RESULTS: We found 16 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. CONCLUSIONS: In this systematic review we present information relating to the effectiveness and safety of the following interventions: cataract surgery alone; cataract surgery with non-concomitant glaucoma surgery; concomitant cataract and glaucoma surgery; diabetic retinopathy treatment with cataract surgery; intracapsular extraction; manual (large or small) incision extracapsular extraction; and phaco extracapsular extraction.
INTRODUCTION:Cataract accounts for over 47% of blindness worldwide, causing blindness in about 17.3 million people in 1990. Surgery for cataract in people with glaucoma may affect glaucoma control. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of surgery for age-related cataract without other ocular comorbidity? What are the effects of treatment for age-related cataract in people with glaucoma? What are the effects of surgical treatments for age-related cataract in people with diabetic retinopathy? We searched: Medline, Embase, The Cochrane Library, and other important databases up to October 2007 (BMJ Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). RESULTS: We found 16 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. CONCLUSIONS: In this systematic review we present information relating to the effectiveness and safety of the following interventions: cataract surgery alone; cataract surgery with non-concomitant glaucoma surgery; concomitant cataract and glaucoma surgery; diabetic retinopathy treatment with cataract surgery; intracapsular extraction; manual (large or small) incision extracapsular extraction; and phaco extracapsular extraction.
Authors: Henry D Jampel; David S Friedman; Lisa H Lubomski; John H Kempen; Harry Quigley; Nathan Congdon; Hani Levkovitch-Verbin; Karen A Robinson; Eric B Bass Journal: Ophthalmology Date: 2002-12 Impact factor: 12.079
Authors: Sanduk Ruit; Geoffrey Tabin; David Chang; Leena Bajracharya; Daniel C Kline; William Richheimer; Mohan Shrestha; Govinda Paudyal Journal: Am J Ophthalmol Date: 2006-09-05 Impact factor: 5.258
Authors: Serge Resnikoff; Donatella Pascolini; Daniel Etya'ale; Ivo Kocur; Ramachandra Pararajasegaram; Gopal P Pokharel; Silvio P Mariotti Journal: Bull World Health Organ Date: 2004-12-14 Impact factor: 9.408
Authors: William Hodge; Tanya Horsley; David Albiani; Julia Baryla; Michel Belliveau; Ralf Buhrmann; Michael O'Connor; Jason Blair; Elizabeth Lowcock Journal: CMAJ Date: 2007-04-24 Impact factor: 8.262
Authors: Rupert R A Bourne; Darwin C Minassian; John K G Dart; Paul Rosen; Sundeep Kaushal; Nicholas Wingate Journal: Ophthalmology Date: 2004-04 Impact factor: 12.079
Authors: David S Friedman; Henry D Jampel; Lisa H Lubomski; John H Kempen; Harry Quigley; Nathan Congdon; Hani Levkovitch-Verbin; Karen A Robinson; Eric B Bass Journal: Ophthalmology Date: 2002-10 Impact factor: 12.079