Evidence map›Paper›PMID 40990703›Full record

SynthesisEinstein (Sao Paulo, Brazil)2025

Digital versus manual workflows for cataract surgery: a systematic review and meta-analysis.

Dillan Cunha Amaral, Laura Cheidde, Denisse J Mora-Paez, Eduardo Hissa Haddad, Pedro Lucas Machado Magalhães, Lucas Macedo Nascimento, Isabelle Rodrigues Menezes, Edson Dos Santos-Neto, Mário Luiz Ribeiro Monteiro, Ricardo Noguera Louzada

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Einstein (Sao Paulo, Brazil), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dillan Cunha AmaralDepartment of Ophthalmology and Otorhinolaryngology, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0009-0002-7948-154X
Laura CheiddeFaculdade de Medicina, Universidade Cidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0004-1333-1893
Denisse J Mora-PaezGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0008-2540-3240
Eduardo Hissa HaddadFaculdade de Medicina, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0009-0001-1345-3063
Pedro Lucas Machado MagalhãesFaculdade de Medicina, Instituto de Educação Médica, Angra dos Reis, RJ, Brazil.ORCID http://orcid.org/0009-0004-1840-2953
Lucas Macedo NascimentoFaculdade de Medicina, Universidade de Brasília, Brasília, DF, Brazil.ORCID http://orcid.org/0009-0006-8161-6430
Isabelle Rodrigues MenezesFaculdade de Medicina, Universidade Estadual do Rio Grande do Norte, Mossoró, RN, Brazil.ORCID http://orcid.org/0009-0002-7290-1169
Edson Dos Santos-NetoDivisão de Oftalmologia e Laboratório de Investigação em Oftalmologia (LIM-33), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-0421-0745
Mário Luiz Ribeiro MonteiroDivisão de Oftalmologia e Laboratório de Investigação em Oftalmologia (LIM-33), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-7281-2791
Ricardo Noguera LouzadaDepartment of Ophthalmology and Otorhinolaryngology, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-9610-5768

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCataracts are the leading cause of reversible blindness worldwide, with age-related cataracts being the most common type. With advancements in digital workflows, new alternative surgical processes aim to enhance efficiency and patient outcomes.

objectiveThis study aimed to evaluate the effectiveness of digital versus manual workflows for cataract surgery through a systematic review and meta-analysis focusing on preoperative assessment time, surgery planning time, intraoperative duration, and transcription frequency.

methodsThe study was performed in accordance with PRISMA guidelines and identified relevant studies published until July 2024 in the PubMed, Embase, Web of Science, and Cochrane databases.

resultsDigital workflows significantly reduced preoperative assessment and intraoperative times for astigmatic cataracts (mean difference (MD)=80.94 s, p<0.01; MD=107.13 s, p=0, respectively) and planning times (MD=130.52 s, p=0.43). Additionally, digital workflows decreased transcription requirements for conventional and post-refractive cataracts. Heterogeneity was notable, especially in the preoperative assessments (I2 >90%).

conclusionThe findings suggest that digital workflows for cataract surgery improve efficiency; however, further large-scale, long-term studies are required to assess the broader applicability and cost-effectiveness of these workflows. Digitalization has the potential to streamline the surgical management of cataracts and enhance patient outcomes. PROSPERO DATABASE REGISTRATION: ID CRD42024590552.

Indexed as

CataractCataract ExtractionWorkflowHumansOperative TimeTime Factors

Identifiers

PMID40990703
PMCPMC12539854

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.