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
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
Current version onlyMultifocal compared to monofocal intraocular lenses after cataract extraction
Population: people with cataract
| Outcome | Effect | Evidence | Status / 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 participants | Moderate Downgraded: risk of bias |
Corrected distance visual acuity worse than 6/6 Multifocal vs monofocal intraocular lenses after cataract extraction | no estimate extracted | NR | Very 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 participants | Low Downgraded: risk of bias |
Spectacle dependence Multifocal vs monofocal intraocular lenses after cataract extraction | RR 0.63 [0.55, 0.73] | 10 studies · 1000 participants | Low Downgraded: risk of bias |
Participant‐reported outcomes: quality of life or visual function Multifocal vs monofocal intraocular lenses after cataract extraction | no estimate extracted | 4 studies · 435 participants | Very 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 participants | Low 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 participants | Moderate Downgraded: risk of bias |
Multifocal compared to monofocal intraocular lenses after cataract extraction
Population: patients with cataract
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Distance visual acuity ‐ less than 6/6 unaided Multifocal vs monofocal intraocular lenses after cataract extraction | RR 0.98 [0.91, 1.05] | 7 studies · 632 participants | Moderate Downgraded: risk of bias |
Distance visual acuity ‐ less than 6/6 best‐corrected Multifocal vs monofocal intraocular lenses after cataract extraction | no estimate extracted | 8 studies · 691 participants | Ungraded |
Near visual acuity ‐ less than J3/J4 unaided Multifocal vs monofocal intraocular lenses after cataract extraction | no estimate extracted | 7 studies · 787 participants | Ungraded |
Spectacle dependence Multifocal vs monofocal intraocular lenses after cataract extraction | no estimate extracted | 11 studies · 1207 participants | Ungraded |
Glare/haloes Multifocal vs monofocal intraocular lenses after cataract extraction | RR 1.94 [1.51, 2.49] | 8 studies · 699 participants | Moderate Downgraded: risk of bias |