{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T18:57:47Z","timestamp":1777748267983,"version":"3.51.4"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Purpose<\/jats:title>\n<jats:p>To evaluate the corneal biomechanical properties of phacoemulsification in the treatment of cataract patients.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Pertinent studies were searched in PubMed, EMBASE, Web of Science and clinicaltrials.gov., as of November 05, 2024. The reference lists of related published reviews were included as well. This meta-analysis was performed with Stata Software and Review Manager, we used mean difference (MD) to evaluate the statistical consequence, using I<jats:sup>2<\/jats:sup> statistic to assess the heterogeneity. Subgroup analysis were performed under the occurrences of high heterogeneity. We used eleven items to describe the characteristics of included studies, publication bias was performed with Egger\u2019s test. The quality assessment were evaluated with 3 items by Newcastle-Ottawa Scale (NOS) items.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Thirteen eligible studies were identified for data synthesis and assessment. According to the result of meta-analysis, the central corneal thickness(CCT) (MD = 10.50, 95% CI: [5.01, 15.98]; P&lt;0.05) and intraocular pressure(IOPg)(MD = -0.73, 95% CI: [-1.26, -0.19]; P&lt;0.05) of cataract patients after phacoemulsification was significantly higher than the control groups. The values of corneal hysteresis(CH) (MD = -0.43, 95% CI: [-0.62, -0.23]; P&lt;0.05) and corneal resistance factor(CRF) (MD = -0.49, 95% CI: [-0.64, -0.33]; P&lt;0.05) after phacoemulsification surgery were statistically lower than the control groups. While the values of IOPcc did not show statistically different (MD = -0.13, 95% CI: [-0.67, 0.41]; P = 0.64).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Included data analysis indicated that the values of CCT, CH, CRF and IOPg showed statistical change in cataract patients after phacoemulsification surgeries compared with control groups. There is a correlation between corneal biomechanics and phacoemulsification surgeries.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0317179","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T19:12:54Z","timestamp":1737745974000},"page":"e0317179","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["The corneal biomechanical changes of phacoemulsification in cataract patients: A systematic review and meta-analysis"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4943-825X","authenticated-orcid":true,"given":"Xinru","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaofeng","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lintong","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Lai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"key":"pone.0317179.ref001","first-page":"365","article-title":"Age-related cataract[J].","author":"PA 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Lee","year":"2016","journal-title":"J Glaucoma"},{"issue":"12","key":"pone.0317179.ref005","doi-asserted-by":"crossref","first-page":"803","DOI":"10.3928\/1081597X-20160629-01","article-title":"Detection of Keratoconus With a New Biomechanical Index[J]","volume":"32","author":"R Vinciguerra","year":"2016","journal-title":"J Refract Surg"},{"issue":"3","key":"pone.0317179.ref006","doi-asserted-by":"crossref","first-page":"e193","DOI":"10.1111\/aos.12530","article-title":"Effect of diabetes mellitus on Corvis ST measurement process[J].","volume":"93","author":"C Perez-Rico","year":"2015","journal-title":"Acta Ophthalmol"},{"issue":"8","key":"pone.0317179.ref007","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1136\/bjophthalmol-2016-309532","article-title":"In vivo ocular biomechanical compliance in thyroid eye disease[J]","volume":"101","author":"HR Vellara","year":"2017","journal-title":"Br J 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Denoyer","year":"2008","journal-title":"Br J Ophthalmol"},{"issue":"8","key":"pone.0317179.ref011","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/j.jcrs.2013.02.052","article-title":"Influence of corneal biomechanical properties on surgically induced astigmatism in cataract surgery[J].","volume":"39","author":"A Denoyer","year":"2013","journal-title":"J Cataract Refract Surg"},{"issue":"11","key":"pone.0317179.ref012","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.1097\/ICO.0b013e3181d9284b","article-title":"Time course of corneal biomechanical parameters after phacoemulsification with intraocular lens implantation[J]","volume":"29","author":"K Kamiya","year":"2010","journal-title":"Cornea"},{"issue":"4","key":"pone.0317179.ref013","first-page":"587","article-title":"Influence of preoperative astigmatism on corneal biomechanics and accurate intraocular pressure measurement after micro-incision phacoemulsification[J].","volume":"12","author":"Z 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