{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:10:35Z","timestamp":1791385835794,"version":"4.3.3"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"vor","delay-in-days":108,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. In this meta\u2010analysis, we aimed to systematically compare the efficacy and safety of phacoemulsification and laser peripheral iridotomy (LPI) in the treatment of primary angle\u2010closure glaucoma (PACG). <jats:italic>Method<\/jats:italic>. We searched PubMed, MEDLINE, EMBASE, the Cochrane Library, the Chinese Journal Full\u2010text Database (CNKI), the Wanfang database, and the China Science and Technology Journal Database for randomized controlled trials (RCTs) of phacoemulsification and LPI in the treatment of PACG published up to September 30, 2022. Postoperative intraocular pressure (IOP), anterior chamber depth (ACD), complications, corneal endothelial cell count, and best\u2010corrected visual acuity (BCVA) were compared. The effective quantity of measurement data was measured by the mean difference (MD) and 95% confidence interval (CI). The effect of counting data was measured by the odds ratio (OR). <jats:italic>Result<\/jats:italic>. A total of 1731 potential studies were identified, and after screening, 8 RCT studies were included. The results of the meta\u2010analysis showed that, compared to the LPI group, the patients in the phacoemulsification group showed lower IOP six and twelve months after operation (MD\u20103.39, 95% CI \u22124.15\u223c\u22122.63, <jats:italic>P<\/jats:italic> &lt; 0.00001; \u22122.29, \u22123.52\u223c\u22121.06, 0.0003). The ACD in the phacoemulsification group was significantly deeper than that in the LPI group (1.59, 1.10\u223c2.09, 0.00001). Meanwhile, the incidence of complications in the phacoemulsification group was lower than that in the LPI group (OR\u2009=\u20090.46, 0.29\u223c0.72, 0.0006). There was no statistically significant difference between the phacoemulsification group and the LPI group in corneal endothelial cell count and BCVA at 6 and 12\u2009months after operation (<jats:italic>P<\/jats:italic> = 0.38; 0.11; 0.81). <jats:italic>Conclusion<\/jats:italic>. Compared with LPI, phacoemulsification is safer and more effective in the treatment of PACG, especially in controlling IOP and minimizing postoperative complications.<\/jats:p>","DOI":"10.1155\/2023\/6732424","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T18:20:19Z","timestamp":1681928419000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Meta\u2010Analysis of Phacoemulsification and Laser Peripheral Iridotomy in the Treatment of Primary Angle\u2010Closure Glaucoma"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5454-5848","authenticated-orcid":false,"given":"Jia","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1699-2812","authenticated-orcid":false,"given":"Pengcheng","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0698-3653","authenticated-orcid":false,"given":"Bo","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,19]]},"reference":[{"key":"e_1_2_8_1_2","unstructured":"WHO Global data on visual impairments 2010 2012 World Health Organization Geneva Switzerland WHO\/NMH\/PBD\/12.01."},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2014.05.013"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2012.02774.x"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2017-311808"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2011-301189"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2017.08.016"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.95865"},{"key":"e_1_2_8_8_2","first-page":"58","article-title":"The evolution of cataract surgery","volume":"113","author":"Davis G.","year":"2016","journal-title":"Missouri Medicine"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.3980\/j.issn.2222-3959.2013.03.28"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.03.002"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.06.001"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2015.03.021"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2017.11.013"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/icu.0000000000000453"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2004.12.042"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2018.05.001"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0886-3350(00)00358-8"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.06.016"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.12.054"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/ijg.0000000000000061"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/ijg.0b013e31821db1db"},{"key":"e_1_2_8_22_2","first-page":"926","article-title":"Surgery in early primary angle closure glaucoma with cataract","volume":"12","author":"Fang M.","year":"2012","journal-title":"Guoji Yanke Zazhi"},{"key":"e_1_2_8_23_2","first-page":"115","article-title":"Effect of lens extraction on primary angle closure glaucoma complicated with cataract","volume":"19","author":"Zhang X. H.","year":"2013","journal-title":"Contemporary Medicine"},{"key":"e_1_2_8_24_2","first-page":"1807","article-title":"Clinical observation of primary phacoemulsification plus intraocular lens implantation for primary angle-closure glaucoma","volume":"13","author":"Kong Q. H.","year":"2013","journal-title":"Guoji Yanke Zazhi"},{"key":"e_1_2_8_25_2","first-page":"3360","article-title":"Phacoemulsification and phacoemulsification in the treatment of primary angle closure glaucoma complicated with cataract","volume":"26","author":"Wang J. N.","year":"2017","journal-title":"Henan Medical Research"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2012.06.015"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2007.10.033"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-014-9926-8"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(16)30956-4"},{"key":"e_1_2_8_30_2","article-title":"Consensus series of the World federation of glaucoma societies (translated version)","volume":"51","author":"Wang N. L.","year":"2016","journal-title":"Chinese Medical Journal"},{"key":"e_1_2_8_31_2","first-page":"355","article-title":"Preliminary clinical observation of phacoemulsification and cataract extraction in the treatment of angle closure glaucoma","volume":"37","author":"Ge J.","year":"2001","journal-title":"Chinese Journal of Ophthalmology"},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.13-13782"},{"key":"e_1_2_8_33_2","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.15-17651"},{"key":"e_1_2_8_34_2","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.14-15216"},{"key":"e_1_2_8_35_2","first-page":"17","article-title":"Multicentre trial of phacoemulsification on patients with primary angle-closure glaucoma and coexisting cataract","volume":"39","author":"Song X. D.","year":"2010","journal-title":"Journal of medical research"},{"key":"e_1_2_8_36_2","first-page":"723","article-title":"To evaluate the efficacy of simple cataract surgery in the treatment of angle closure glaucoma complicated with cataract","volume":"40","author":"Liang Y. B.","year":"2004","journal-title":"Chinese Journal of Ophthalmology"},{"key":"e_1_2_8_37_2","first-page":"93","article-title":"The systematic review of the cataract extraction for primary angle-closure glaucoma coexisting cataract","volume":"14","author":"Qiao L. Y.","year":"2005","journal-title":"Ophthalmol CHN"}],"container-title":["Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2023\/6732424.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2023\/6732424.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2023\/6732424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T16:54:29Z","timestamp":1722876869000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2023\/6732424"}},"subtitle":[],"editor":[{"given":"Sudhir","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1155\/2023\/6732424"],"URL":"https:\/\/doi.org\/10.1155\/2023\/6732424","archive":["Portico"],"relation":{},"ISSN":["2090-004X","2090-0058"],"issn-type":[{"value":"2090-004X","type":"print"},{"value":"2090-0058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2022-09-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6732424"}}