Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

462 questions · 474 findings · 56 reviews · Eyes and Vision

No studies found 147 · 31%GRADE not reported 15 · 3.2%Very low 89 · 18.8%Low 157 · 33.1%Moderate 52 · 11%High 14 · 3%

Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs usual care

Service utilisation: uptake of referral · people with vision impairment caused by cataract

The review found no eligible studies for this question.

1 finding from 1 review

Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs usual care

Cataract Surgical Coverage · people with vision impairment caused by cataract

The review found no eligible studies for this question.

1 finding from 1 review

Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs usual care

Surgical outcome (visual acuity in the operated eye) · people with vision impairment caused by cataract

The review found no eligible studies for this question.

1 finding from 1 review

Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs usual care

Change in the prevalence of cataract blindness · people with vision impairment caused by cataract

The review found no eligible studies for this question.

1 finding from 1 review

Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs usual care

Prevalence of visual impairment due to cataract · people with vision impairment caused by cataract

The review found no eligible studies for this question.

1 finding from 1 review

Steroid implant vs sham

Proportion of eyes with cataract formation or progression, or surgery · people with chronic non‐infectious uveitis

Steroid implant may leads to higher proportion of participants with cataract formation/progression, or… compared with sham procedure (low certainty).

1 finding from 1 review

Iridotomy vs no iridotomy

Need for additional surgery: proportion of participants who received additional surgery to control IOP at 1 year · people with primary angle‐closure suspect

Iridotomy showed no clear difference in need for additional surgery: proportion of participants who received… compared with no iridotomy (low certainty).

1 finding from 1 review

Phacoemulsification vs laser peripheral iridotomy

Proportion of participants requiring further IOP‐lowering interventions (additional surgery, medications, or both) (lower number of events is better) · Participants with acute primary angle closure after initial medical treatment to lower intraocular pressure

It is very uncertain whether phacoemulsification changes proportion of participants requiring further IOP‐lowering… compared with laser peripheral iridotomy (very low certainty).

1 finding from 1 review

Patching vs active observation

Stereoacuity at distance Loss of ≥ 2 octaves near stereoacuity Measured using the Preschool Randot test 3 years after surgery · people with intermittent exotropia, aged less than 11 years

The review found no eligible studies for this question.

1 finding from 1 review

Patching vs active observation

Minor adverse events Defined as any adverse event within 8 weeks of surgery that does not require further intervention · people with intermittent exotropia, aged less than 11 years

The review found no eligible studies for this question.

1 finding from 1 review

Bilateral lateral rectus recession vs lateral rectus recession and medial rectus resection

Stereoacuity at near Loss of ≥ 2 octaves near stereoacuity, measured using the Preschool Randot test 3 years after surgery · people with intermittent exotropia, aged 3 to < 11 years

Bilateral lateral rectus recession showed no clear difference in stereoacuity at near Loss of ≥ 2 octaves near stereoacuity, measured… compared with unilateral lateral rectus recession with medial rectus resection (low certainty).

1 finding from 1 review

Lateral rectus recession and medial rectus plication vs lateral rectus recession and medial rectus resection

Stereoacuity at distance Loss of ≥ 2 octaves near stereoacuity Measured using the Preschool Randot test 3 years after surgery · people with intermittent exotropia, aged over 6 years

The review found no eligible studies for this question.

1 finding from 1 review

Bilateral lateral rectus recession vs lateral rectus recession and medial rectus resection

Minor adverse events Defined as any adverse event within 8 weeks of surgery that does not require further intervention · people with intermittent exotropia, aged 3 to < 11 years

Bilateral lateral rectus recession showed no clear difference in minor adverse events Defined as any adverse event within 8 weeks of… compared with unilateral lateral rectus recession with medial rectus resection (low certainty).

1 finding from 1 review