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Digital versus manual workflows for cataract surgery: a systematic review and meta-analysis
Dillan Cunha Amaral1, Laura Cheidde2, Denisse J Mora-Paez3
1Department of Ophthalmology and Otorhinolaryngology, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Digital workflows significantly reduce assessment and surgery times for cataract surgery, improving efficiency. Further research is needed to confirm broader applicability and cost-effectiveness of these digital advancements.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Health Informatics
Background:
- Cataracts are a leading cause of reversible blindness globally.
- Age-related cataracts are the most prevalent type.
- Digital workflows offer potential for enhanced cataract surgery efficiency and patient outcomes.
Purpose of the Study:
- To systematically review and meta-analyze the effectiveness of digital versus manual workflows in cataract surgery.
- To compare preoperative assessment time, surgery planning time, intraoperative duration, and transcription frequency.
Main Methods:
- Systematic review and meta-analysis adhering to PRISMA guidelines.
- Literature search of PubMed, Embase, Web of Science, and Cochrane databases up to July 2024.
- Analysis focused on key efficiency metrics in cataract surgery.
Main Results:
- Digital workflows demonstrated significant reductions in preoperative assessment and intraoperative times for astigmatic cataracts.
- Planning times were also reduced with digital workflows.
- Transcription requirements were decreased for conventional and post-refractive cataracts, though heterogeneity was noted.
Conclusions:
- Digital workflows enhance efficiency in cataract surgery.
- Further large-scale, long-term studies are necessary to evaluate broader applicability and cost-effectiveness.
- Digitalization holds potential to streamline cataract management and improve patient outcomes.
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