Alireza Peyman1, Mohsen Pourazizi1, Mohamadreza Akhlaghi1, Awat Feizi2, Alireza Rahimi3, Elham Soltani4. 1. Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran. 2. Biostatistics and Epidemiology Department, Isfahan University of Medical Sciences, Isfahan, Iran. 3. Health Information Research Center, Medical Informatics Department, Faculty of Medical Management and Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. 4. Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran. Elhamsoltani63@yahoo.com.
Abstract
PURPOSE: To systematically review the published manuscripts on stereopsis after corneal refractive surgery. METHODS: The Web of Science, PubMed, Scopus, ProQuest, Clinical Key, Embase, and Cochrane Library were searched for relevant articles published until August 2020. The fixed- or random-effects models were used to estimate the Weighted mean difference (WMD) or Relative risk (RR) and 95% Confidence interval (CI) for postoperative stereopsis changes and incidence when applicable. Meta-regression was conducted for adjusting the effects of potential confounders. RESULTS: Seven studies (1266 eyes) in adults and ten studies in pediatrics (259 eyes) were included. In adults, stereopsis improved significantly compared to the preoperative state (WMD = - 27.4, 95% CI = - 40.0, - 14.7; I2 = 97.8%; P < 0.001). In pediatrics, proportion of patients with stereoacuity postoperatively was 2.18 times compared to preoperative evaluation. (RR = 2.18, 95% CI = 1.2, 3.9; I2 = 68.6%, P < 0.001). CONCLUSIONS: Stereopsis improves after corneal refractive surgery in adults and pediatrics.
PURPOSE: To systematically review the published manuscripts on stereopsis after corneal refractive surgery. METHODS: The Web of Science, PubMed, Scopus, ProQuest, Clinical Key, Embase, and Cochrane Library were searched for relevant articles published until August 2020. The fixed- or random-effects models were used to estimate the Weighted mean difference (WMD) or Relative risk (RR) and 95% Confidence interval (CI) for postoperative stereopsis changes and incidence when applicable. Meta-regression was conducted for adjusting the effects of potential confounders. RESULTS: Seven studies (1266 eyes) in adults and ten studies in pediatrics (259 eyes) were included. In adults, stereopsis improved significantly compared to the preoperative state (WMD = - 27.4, 95% CI = - 40.0, - 14.7; I2 = 97.8%; P < 0.001). In pediatrics, proportion of patients with stereoacuity postoperatively was 2.18 times compared to preoperative evaluation. (RR = 2.18, 95% CI = 1.2, 3.9; I2 = 68.6%, P < 0.001). CONCLUSIONS: Stereopsis improves after corneal refractive surgery in adults and pediatrics.
Authors: James Dutton; Alice Watkins; Jack Henderson; Frederick R Burgess; Naing L Tint; Baljean Dhillon; Andrew J Tatham Journal: J Cataract Refract Surg Date: 2020-04 Impact factor: 3.351