Cochrane · systematic review · CD006683

Prophylactic non‐steroidal anti‐inflammatory drugs for the prevention of macular oedema after cataract surgery

Lim, BX, Lim, CHL, Lim, DK, et al. · Cochrane Database of Systematic Reviews · 2016 · 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
14
current version
GRADE rated
5
No studies
3
Included studies
NR
No studies 3 · 21.4%Ungraded 6 · 42.9%Very low 1 · 7.1%Low 4 · 28.6%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

NSAIDS plus steroids compared with steroids for the prevention of macular oedema after cataract surgery

Population: people having cataract surgery
7 questions
OutcomeEffectEvidenceStatus / GRADE
Poor vision due to MO at 3 months after surgery
NSAIDS plus steroids vs steroids
RR 0.41 [0.23, 0.76]5 studies · 1360 participantsLow
Downgraded: risk of bias, indirectness
Poor vision due to MO at 12 months after surgery
NSAIDS plus steroids vs steroids
RR 1.32 [0.09, 20.37]1 study · 88 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life at 3 months after surgery
NSAIDS plus steroids vs steroids
no estimate extracted1 study · 74 participantsUngraded
Central retinal thickness at 3 months after surgery;
NSAIDS plus steroids vs steroids
no estimate extracted8 studies · 1021 participantsUngraded
Adverse effects
NSAIDS plus steroids vs steroids
no estimate extracted18 studies · 18 participantsUngraded
MO at 3 months after cataract surgery, clinically symptomatic,
NSAIDS plus steroids vs steroids
RR 0.421 studies · 3638 participantsLow
Downgraded: risk of bias, publication bias
BCVA at 3 months after surgery;
NSAIDS plus steroids vs steroids
no estimate extracted10 studies · 1158 participantsUngraded

NSAIDS compared with steroids for the prevention of macular oedema after cataract surgery

Population: people having cataract surgery
7 questions
OutcomeEffectEvidenceStatus / GRADE
Poor vision outcome due to MO at 3 months after surgery
NSAIDS vs steroids
no estimate extractedNRNo studies
Poor vision outcome due to MO at 12 months after surgery
NSAIDS vs steroids
no estimate extractedNRNo studies
Quality of life at 3 months after surgery
NSAIDS vs steroids
no estimate extractedNRNo studies
Central retinal thickness at 3 months after surgery;
NSAIDS vs steroids
no estimate extracted2 studies · 121 participantsLow
Downgraded: risk of bias
Adverse effects
NSAIDS vs steroids
no estimate extracted4 studies · 488 participantsUngraded
MO at 3 months after cataract surgery; clinically symptomatic
NSAIDS vs steroids
RR 0.27 [0.18, 0.41]5 studies · 520 participantsLow
Downgraded: risk of bias, publication bias
BCVA at 3 months after surgery;
NSAIDS vs steroids
no estimate extracted3 studies · 220 participantsUngraded