Cochrane · systematic review · CD009781

Topical non‐steroidal anti‐inflammatory drugs for analgesia in traumatic corneal abrasions

Wakai, A, Lawrenson, JG, Lawrenson, AL, et al. · 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
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 2 · 28.6%Low 3 · 42.9%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

Topical NSAIDs compared to control for analgesia in traumatic corneal abrasions

Population: analgesia in traumatic corneal abrasions
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported pain intensity reduction of 30%/50% or greater at 24 hours
Topical NSAIDs vs control
no estimate extractedNRNo studies
Use of rescue oral analgesia at 24 hours
Topical NSAIDs vs control
RR 0.46 [0.34, 0.61]4 studies · 481 participantsLow
Downgraded: risk of bias
Use of rescue oral analgesia at 48/72 hours
Topical NSAIDs vs control
no estimate extractedNRNo studies
Proportion of abrasions healed after 24 hours
Topical NSAIDs vs control
RR 1 [0.81, 1.23]1 study · 28 participantsLow
Downgraded: risk of bias
Proportion of abrasions healed after 48 hours
Topical NSAIDs vs control
RR 1 [0.88, 1.14]1 study · 28 participantsLow
Downgraded: risk of bias
Complications of corneal abrasion
Topical NSAIDs vs control
RR 0.44 [0.07, 2.96]6 studies · 609 participantsVery low
Downgraded: risk of bias
Drug‐related adverse events
Topical NSAIDs vs control
RR 2.95 [0.32, 27.6]2 studies · 163 participantsVery low
Downgraded: risk of bias