{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T19:27:26Z","timestamp":1786562846255,"version":"build-2736575974"},"reference-count":51,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Asociaci\u00f3n para Evitar la Ceguera en M\u00e9xico I.A.P.","award":["SA-22-04"],"award-info":[{"award-number":["SA-22-04"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The main purpose of our study is to compare the adverse events occurrence, complications, and postoperative outcomes of Femtosecond Laser-Assisted Cataract Surgery (FLACS) versus conventional phacoemulsification surgery (CPS) in adult patients undergoing cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted our research using PubMed, Scopus, and MEDLINE through EBSCOhost from 2012 to July 2022 with English and Spanish language restriction, including only Randomized Controlled Trials (RCTs). The PRISMA guidelines were observed for data abstraction, including a random-effects model for each outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We analyzed 4844 eyes from 23 RCTs with some low risk of bias according to RoB 2 tool. We found statistically significant differences between the FLACS and CPS groups for the mean absolute error (MD\u2009=\u2009\u22120.12, 95% CI:\u22120.22\u2013[\u22120.02],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01), the circularity of capsulorhexis (MD\u2009=\u20090.04, 95% CI: 0.04\u20130.05,\n                      <jats:italic toggle=\"yes\">p\u2009<\/jats:italic>\n                      \u2264\u20090.00001), IOL centration (\n                      <jats:italic toggle=\"yes\">D<\/jats:italic>\n                      \u2009=\u2009\u22120.07, 95% CI:\u22120.09\u2013[\u22120.05],\n                      <jats:italic toggle=\"yes\">p\u2009<\/jats:italic>\n                      \u2264\u20090.00001), CDE count (MD\u2009=\u2009\u22121.75, 95% CI: \u22122.75-[\u22120.74],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0006), mean phacoemulsification time (MD\u2009=\u2009-12.90, 95% CI:\u221220.89-[\u22124.92],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002), EPT (MD\u2009=\u2009\u22120.93, 95% CI: \u22121.68-[\u22120.019],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01) and endothelial cell density loss ((MD\u2009=\u2009\u22120.6, 95% CI: \u22121-[\u22120.19],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004). Also, the safety analysis showed a lower incidence of posterior capsule tear (PCT) in the FLACS group (OR\u2009=0.29, 95% CI: 0.09\u20131,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results suggest that FLACS might be helpful for patients with relatively dense cataracts and low preoperative endothelial cell values.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721241229129","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:32:06Z","timestamp":1706661126000},"page":"1458-1468","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Femtosecond laser-assisted cataract surgery versus conventional phacoemulsification: A meta-analysis of randomized controlled trials"],"prefix":"10.1177","volume":"34","author":[{"given":"Nicole Stephanie","family":"Pichardo-Loera","sequence":"first","affiliation":[{"name":"Anterior Segment Department, Asociaci\u00f3n Para Evitar la Ceguera en M\u00e9xico I.A.P., Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Corredor-Ortega","sequence":"additional","affiliation":[{"name":"Anterior Segment Department, Asociaci\u00f3n Para Evitar la Ceguera en M\u00e9xico I.A.P., Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Angel","family":"Castro-Monreal","sequence":"additional","affiliation":[{"name":"Anterior Segment Department, Asociaci\u00f3n Para Evitar la Ceguera en M\u00e9xico I.A.P., Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha Gabriela","family":"Massaro-Corredor","sequence":"additional","affiliation":[{"name":"Anterior Segment Department, Asociaci\u00f3n Para Evitar la Ceguera en M\u00e9xico I.A.P., Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Francisco","family":"P\u00e9rez-V\u00e1zquez","sequence":"additional","affiliation":[{"name":"Anterior Segment Department, Asociaci\u00f3n Para Evitar la Ceguera en M\u00e9xico I.A.P., Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6654-5191","authenticated-orcid":false,"given":"Roberto","family":"Gonzalez-Salinas","sequence":"additional","affiliation":[{"name":"Anterior Segment Department, Asociaci\u00f3n Para Evitar la Ceguera en M\u00e9xico I.A.P., Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000340"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30544-5"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30393-5"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0112054"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.14"},{"key":"e_1_3_3_7_2","first-page":"1465","article-title":"Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery","volume":"7","author":"Day AC","year":"2016","unstructured":"Day AC, Gore DM, Bunce C, et al. 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