SynthesisInternational ophthalmology2026
Efficacy of capsular bag fixation versus ciliary sulcus fixation IOL implantation in children patients: meta-analysis.
Synthesis in International ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
purposeTo systematically compare the safety and efficacy of ciliary sulcus versus capsular bag fixation in pediatric intraocular lens implantation.
methodsWe searched observational studies and RCTs in databases from inception until March 2025. Statistical analysis was performed using RevMan 5.4.
resultsEight studies (843 patients) were included. No significant differences were found in postoperative BCVA, spherical equivalent, visual axis opacity, or inflammation incidence (p > 0.05). Ciliary sulcus fixation showed a significantly higher risk of secondary glaucoma (RR = 0.43, 95%CI 0.20-0.96, p = 0.04). However, this finding was not robust in sensitivity analysis. In acquired cataract cases, myopic shift was more pronounced in the ciliary sulcus fixation group; worse visual outcomes were observed in the capsular bag fixation group among patients without amblyopia therapy. Uveitis incidence was higher in the ciliary sulcus group.
conclusionWhile both techniques show comparable efficacy, ciliary sulcus fixation significantly increases risks of secondary glaucoma and uveitis, and is associated with myopia progression. Capsular bag fixation is recommended as the preferred approach, with enhanced postoperative amblyopia treatment and long-term monitoring.
Indexed as
Identifiers
42678450What OpenQuestion holds
Registered trials
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.