Cochrane · systematic review · CD006539

Neuroprotection for treatment of glaucoma in adults

Sena, DF, Lindsley, K · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Eyes and VisionAMSTAR 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
8
current version
GRADE rated
3
No studies
5
Included studies
NR
No studies 5 · 62.5%Ungraded 0 · 0%Very low 3 · 37.5%Low 0 · 0%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

Neuroprotection compared with control for glaucoma

Population: adults with open angle glaucoma
8 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes*
Neuroprotection vs control
no estimate extractedNRNo studies
Visual field: the proportion of participants with progression of visual field loss at 4 years'
Neuroprotection vs control
RR 0.35 [0.14, 0.86]1 study · 101 participantsVery low
Downgraded: risk of bias
Visual acuity: the proportion of participants with loss of visual acuity at 4 years'
Neuroprotection vs control
no estimate extractedNRNo studies
Intraocular pressure: mean IOP at 4 years'
Neuroprotection vs control
MD 0.21 study · 91 participantsVery low
Downgraded: risk of bias
Vertical cup‐disc ratio: the proportion of participants with asymmetrical vertical cup‐disc ratio greater than 0.3 at 4 years'
Neuroprotection vs control
no estimate extractedNRNo studies
Adverse effects: ocular allergy to the study medication requiring discontinuation up to 4 years'
Neuroprotection vs control
RR 5.32 [1.64, 17.26]1 study · 178 participantsVery low
Downgraded: risk of bias
Quality of life measures
Neuroprotection vs control
no estimate extractedNRNo studies
Economic data
Neuroprotection vs control
no estimate extractedNRNo studies