Purpose. This meta-analysis was conducted to compare the intraoperative and postoperative outcomes of bimanual microincision\ncataract surgery (B-MICS) and coaxial microincision cataract surgery (C-MICS). Methods. Three databases were searched for\npapers that compared B-MICS and C-MICS from inception to June 2016. The following intraoperative and postoperative\noutcomes were included in the final meta-analysis: ultrasound time (UST), effective phacoemulsification time (EPT), balanced\nsalt solution use (BSS use), mean surgery time, best-corrected visual acuity (BCVA), central corneal thickness (CCT), and\nincreased CCT. Results. There were no statistically significant differences in mean surgery time, UST, BSS use, BCVA, CCT, or\nincreased CCT (one subgroup at postoperative day 7-8 and another subgroup at postoperative day 30). However, there was less\nEPT needed during surgery (p < 0 01) and lower levels of increased CCT at postoperative day 1 (p = 0 02) in the B-MICS group\ncompared with the C-MICS group. Conclusions. The EPT was shorter and increased CCT was less at postoperative day 1 in the\nB-MICS group. There were no statistically significant differences in other intraoperative and postoperative outcomes between\nthe B-MICS group and the C-MICS group. B-MICS is an efficient and safe cataract surgery procedure.
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