Objective: Systematic review of manual small incision cataract surgery (MSICS) and phacoemulsification (PHACO) on the postoperative visual quality and surgical complications.
Methods: Relevant literatures on clinical efficacy of PHACO and MSICS were included by retrieving in Medline, PubMed, Chinese Biomedical Literature Database (CBM) and Chinese Academic Journal (CNKI) databases. Meta-analysis was conducted by RevMan5.0 software with OR and its 95% CI for the effect size.
Results: A total of ten documents were included in the study. Uncorrected visual acuity 1 week after surgery (OR = 0.84, 95% CI: 0.67 ~ 1.06, P=0.15), post-operative capsular rupture (OR = 1.07, 95% CI: 0.73~1.58, P=0.72), and corneal edema (OR = 0.90, 95% CI: 0.70~1.16, P=0.42) between MSICS and PHACO showed no statistical difference (P > 0.05).
Conclusion: Clinical efficacy and complications of MSICS was similar tothat of PHACO.
Keywords: Manual small incision cataract surgery; meta-analysis; phacoemulsification.