Cochrane · systematic review · CD004083

Peribulbar versus retrobulbar anaesthesia for cataract surgery

Alhassan, MB, Kyari, F, Ejere, HOD · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Anaesthesia2 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 0 · 0%Low 3 · 42.9%Moderate 4 · 57.1%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 only

Peribulbar versus retrobulbar for cataract surgery

Population: patients with cataract surgery
CD004083.PUB3 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain score none1. Scale from: 0 to 4.
Peribulbar vs retrobulbar
no estimate extracted2 studies · 221 participantsLow
Downgraded: risk of bias
Globe akinesia extraocular muscle motility
Peribulbar vs retrobulbar
RR 0.96 [0.82, 1.13]4 studies · 1042 participantsLow
Downgraded: risk of bias
Need for additional injection Number of additional injections
Peribulbar vs retrobulbar
RR 1.54 [0.91, 2.6]4 studies · 1029 participantsLow
Downgraded: risk of bias
Local complications ‐ Retrobular haemorrhage
Peribulbar vs retrobulbar
RR 0.33 [0.01, 8.05]1 study · 142 participantsModerate
Downgraded: risk of bias
Local complications ‐ Conjunctival chemosis presence of conjunctival chemosis
Peribulbar vs retrobulbar
RR 2.11 [1.46, 3.05]4 studies · 1042 participantsModerate
Downgraded: risk of bias
Local complications ‐ Ptosis
Peribulbar vs retrobulbar
RR 1.06 [0.43, 2.6]1 study · 317 participantsModerate
Downgraded: risk of bias
Acceptability of blocks
Peribulbar vs retrobulbar
RR 1.01 [0.98, 1.03]2 studies · 600 participantsModerate
Downgraded: risk of bias

Peribulbar versus retrobulbar for cataract surgery

Population: patients with cataract surgery
CD004083.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain score none1. Scale from: 0 to 4.
Peribulbar vs retrobulbar
no estimate extracted2 studies · 221 participantsLow
Downgraded: risk of bias
Globe akinesia extraocular muscle motility
Peribulbar vs retrobulbar
RR 0.96 [0.82, 1.13]4 studies · 1042 participantsLow
Downgraded: risk of bias
Need for additional injection Number of additional injections
Peribulbar vs retrobulbar
RR 1.54 [0.91, 2.6]4 studies · 1029 participantsLow
Downgraded: risk of bias
Local complications ‐ Retrobular haemorrhage
Peribulbar vs retrobulbar
RR 0.33 [0.01, 8.05]1 study · 142 participantsModerate
Downgraded: risk of bias
Local complications ‐ Conjunctival chemosis presence of conjunctival chemosis
Peribulbar vs retrobulbar
RR 2.11 [1.46, 3.05]4 studies · 1042 participantsModerate
Downgraded: risk of bias
Local complications ‐ Ptosis
Peribulbar vs retrobulbar
RR 1.06 [0.43, 2.6]1 study · 317 participantsModerate
Downgraded: risk of bias
Acceptability of blocks
Peribulbar vs retrobulbar
RR 1.01 [0.98, 1.03]2 studies · 600 participantsModerate
Downgraded: risk of bias