Cochrane · systematic review · CD003169

Multifocal versus monofocal intraocular lenses after cataract extraction

de Silva, SR, Evans, JR, Kirthi, V, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Eyes and Vision2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 3 · 42.9%Moderate 2 · 28.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Multifocal compared to monofocal intraocular lenses after cataract extraction

Population: people with cataract
7 questions
OutcomeEffectEvidenceStatus / GRADE
Unaided distance visual acuity worse than 6/6
Multifocal vs monofocal intraocular lenses after cataract extraction
RR 0.96 [0.89, 1.03]8 studies · 682 participantsModerate
Downgraded: risk of bias
Corrected distance visual acuity worse than 6/6
Multifocal vs monofocal intraocular lenses after cataract extraction
no estimate extractedNRVery low
Downgraded: risk of bias
Unaided near visual acuity worse than J3/J4
Multifocal vs monofocal intraocular lenses after cataract extraction
RR 0.2 [0.07, 0.58]8 studies · 782 participantsLow
Downgraded: risk of bias
Spectacle dependence
Multifocal vs monofocal intraocular lenses after cataract extraction
RR 0.63 [0.55, 0.73]10 studies · 1000 participantsLow
Downgraded: risk of bias
Participant‐reported outcomes: quality of life or visual function
Multifocal vs monofocal intraocular lenses after cataract extraction
no estimate extracted4 studies · 435 participantsVery low
Downgraded: risk of bias
Participant‐reported outcomes: glare
Multifocal vs monofocal intraocular lenses after cataract extraction
RR 1.41 [1.03, 1.93]7 studies · 544 participantsLow
Downgraded: risk of bias
Participant‐reported outcomes: haloes
Multifocal vs monofocal intraocular lenses after cataract extraction
RR 3.58 [1.99, 6.46]7 studies · 662 participantsModerate
Downgraded: risk of bias