Cochrane · systematic review · CD006499

Botulinum toxin for the treatment of strabismus

Bort-Martí, AR, Rowe, FJ, Ruiz Sifre, L, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
6
current version
GRADE rated
4
No studies
2
Included studies
NR
No studies 2 · 33.3%Ungraded 0 · 0%Very low 1 · 16.7%Low 3 · 50%Moderate 0 · 0%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

Show all 2 versions

Botulinum toxin versus surgery

Population: adults and children with strabismus
6 questions
OutcomeEffectEvidenceStatus / GRADE
Improved or corrected strabismusa at 6 or 12 months
Botulinum toxin vs surgery
RR 0.72 [0.53, 0.99]4 studies · 242 participantsLow
Downgraded: risk of bias, imprecision
Serious adverse events at 6 or 12 months
Botulinum toxin vs surgery
no estimate extractedNRNo studies
Proportion of participants requiring additional surgery(ies) at 6 or 12 months
Botulinum toxin vs surgery
RR 3.05 [1.34, 6.91]1 study · 101 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of participants who achieved binocular single vision at 6 or 12 months
Botulinum toxin vs surgery
RR 0.88 [0.63, 1.23]2 studies · 102 participantsLow
Downgraded: risk of bias, imprecision
Quality of life, as measured by validated instruments
Botulinum toxin vs surgery
no estimate extractedNRNo studies
Non‐serious adverse events at 6 or 12 months
Botulinum toxin vs surgery
no estimate extracted3 studies · 212 participantsLow