Efficacy comparison between manual small incision cataract surgery and phacoemulsification in cataract patients: a meta-analysis

Systematic review of manual small incision cataract surgery (MSICS) and phacoemulsification (PHACO) on the postoperative visual quality and surgical complications. 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. 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). Clinical efficacy and complications of MSICS was similar tothat of PHACO.