SynthesisActa ophthalmologica2016
Indication for cataract surgery. Do we have evidence of who will benefit from surgery? A systematic review and meta-analysis.
Synthesis in Acta ophthalmologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03992807 (Patient-centered and Economic Effectiveness of a Decision Aid for Patients With Age-related Cataract), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Patient-centered and Economic Effectiveness of a Decision Aid for Patients With Age-related Cataract: a Randomized Controlled Trial
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of the Effects of Second-Eye Cataract Surgery on Motor Function.Frontiers in aging · 2022Pooled it
- Predicting changes in cataract surgery health outcomes using a cataract surgery appropriateness and prioritization instrument.PloS one · 2021Trial
- Comparative clinical trial of intracameral ropivacaine vs. lignocaine in subjects undergoing phacoemulsification under augmented topical anesthesia.Indian journal of ophthalmology · 2020Trial
- From Routine to Risk: Medical Liability and the Legal Implications of Cataract Surgery in the Age of Trivialization.Journal of clinical medicine · 2025Review
- Psychotic Symptoms in Cataract Patients Without Overt Psychosis Are Ameliorated Following Successful Cataract Surgery.Diseases (Basel, Switzerland) · 2025Article
- Validation of Malay-vision disability assessment (VDA) questionnaire and its application to assess the functional disability among cataract patients of a tertiary medical centre in Malaysia.International ophthalmology · 2025Article
- Comparison of dynamic defocus curve on cataract patients implanting extended depth of focus and monofocal intraocular lens.Eye and vision (London, England) · 2023Article
- Visual Acuity Prior to Cataract Surgery and Risk of Retinal Detachment - A Population-Based Study.Clinical ophthalmology (Auckland, N.Z.) · 2023Article
- The prediction capability of a cataract surgery risk stratification model based on a large electronic medical record dataset.Indian journal of ophthalmology · 2022Article
- Long-Term Functional Hyperemia after Uncomplicated Phacoemulsification: Benefits beyond Restoring Vision.Diagnostics (Basel, Switzerland) · 2022Article
- Efficacy of Large Optic Intraocular Lenses in Myopic Eyes with Posterior Segment Pathology.Ophthalmology and therapy · 2022Article
- Validity of the French version of Catquest-9SF and use of an electronic notepad for entering patient-reported outcome measures.Eye and vision (London, England) · 2021Article
- Measuring aniseikonia tolerance range for stereoacuity - a tool for the refractive surgeon.Acta ophthalmologica · 2021Article
- Cataract Surgery in One-Eyed Patients: A Cohort Study of 100 Patients.Journal of ophthalmology · 2021Article
- Visual Acuity Outcomes after Phacoemulsification in Eyes with Good Visual Acuity before Cataract Surgery.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2021Article
- Should We Perform Early Cataract Surgery? A Patient Reported Outcome Study.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Application of evidence-based nursing in patients after cataract surgery and its impacts on visual acuity recovery and psychological status.American journal of translational research · 2021Article
- Knowledge about benefits and risks of undergoing cataract surgery among cataract patients in Southern China.International ophthalmology · 2020Article
- Dry Eye Disease after Cataract Surgery: Study of its Determinants and Risk FactorsTurkish journal of ophthalmology · 2020Observational
- Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The need for cataract surgery is expected to rise dramatically in the future due to the increasing proportion of elderly citizens and increasing demands for optimum visual function. The aim of this study was to provide an evidence-based recommendation for the indication of cataract surgery based on which group of patients are most likely to benefit from surgery. A systematic literature search was performed in the MEDLINE, CINAHL, EMBASE and COCHRANE LIBRARY databases. Studies evaluating the outcome after cataract surgery according to preoperative visual acuity and visual complaints were included in a meta-analysis. We identified eight observational studies comparing outcome after cataract surgery in patients with poor (<20/40) and fair (>20/40) preoperative visual acuity. We could not find any studies that compared outcome after cataract surgery in patients with few or many preoperative visual complaints. A meta-analysis showed that the outcome of cataract surgery, evaluated as objective and subjective visual improvement, was independent on preoperative visual acuity. There is a lack of scientific evidence to guide the clinician in deciding which patients are most likely to benefit from surgery. To overcome this shortage of evidence, many systems have been developed internationally to prioritize patients on waiting lists for cataract surgery, but the Swedish NIKE (Nationell Indikationsmodell för Katarakt Ekstraktion) is the only system where an association to the preoperative scoring of a patient has been related to outcome of cataract surgery. We advise that clinicians are inspired by the NIKE system when they decide which patients to operate to ensure that surgery is only offered to patients who are expected to benefit from cataract surgery.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.