Efficacy and safety of ultrasound cycloplasty for the treatment of glaucoma: a Meta-analysis
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Pei-Rong Lu. Department of Ophthalmology, the First Affiliated Hospital of Soochow University, Shizi Street 188, Suzhou 215006, Jiangsu Province, China. lupeirong@suda.edu.cn

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    Abstract:

    AIM: To evaluate the efficacy and safety of ultrasound cycloplasty (UCP) for glaucoma. METHODS: A comprehensive search of PubMed, Embase, Web of Science, and Google Scholar databases was used to select studies met the inclusion criteria. Meta-analysis was performed by Review Manager and StataCorp LLC. RESULTS: A total of 19 articles met the inclusion criteria. Overall, UCP is effective and safe in the glaucoma treatment, the risk ratio (RR) of the success rate was 2.28 (95%CI, 1.82-2.84). After UCP, patients had a significant reduction in intraocular pressure (IOP; mm Hg), the weighted mean difference (WMD) was 11.39 (95%CI, 9.88-12.90). In addition, UCP brings fewer postoperative complications with RR of 0.30 (95%CI, 0.19-0.49). Most of the complications were short-term and mild. Postoperatively, patients’ use of IOP-lowering medications reduced, the standardized mean difference (SMD) was 0.78 (95%CI, 0.40-1.17). However, best corrected visual acuity (BCVA; logMAR) did not have obvious improvement after UCP, the WMD was 0.01 (95%CI, -0.06-0.09). This procedure does provide painfulness relief, with RR of 3.06 (95%CI, 1.95-4.81). CONCLUSION: UCP is effective and safe for suitable glaucoma. It can effectively decrease IOP in glaucoma patients, reduce the patients’ dependence on IOP-lowering medications after surgery, relief the painfulness and has fewer long-term or severe postoperative complications, but the BCVA did not improve much.

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Tian-Hong Wu, Xue Yin, Jian-Qing Li, et al. Efficacy and safety of ultrasound cycloplasty for the treatment of glaucoma: a Meta-analysis. Int J Ophthalmol, 2023,16(8):1317-1325

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Publication History
  • Received:February 25,2023
  • Revised:June 16,2023
  • Adopted:
  • Online: July 25,2023
  • Published: