Three randomised controlled trials (n=753) were included in the meta-analysis. All trials were rated strong quality and all reported allocation concealment. Further aspects of quality assessment were reported only in relation to the two trials that assessed incidence of falls. Despite reportedly robust data collection methods, these trials were found to be inadequately powered, have insufficient control for confounding variables and a drop-out rate of 7.8%.
Expedited cataract surgery resulted in significantly improved visual acuity (OR 7.22, 95% CI 3.15 to 16.55; three trials) compared with routine surgery. There was no statistically significant difference between the groups in incidence of falls (two trials, n=545).
There was no evidence of publication bias.