Cochrane · systematic review · CD009799

Laser‐assisted subepithelial keratectomy (LASEK) versus photorefractive keratectomy (PRK) for correction of myopia

Li, SM, Zhan, S, Li, SY, 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 50%Low 2 · 33.3%Moderate 1 · 16.7%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

Comparison

Population: adult participants (≥ 18 years) with myopia
6 questions
OutcomeEffectEvidenceStatus / GRADE
UCVA of 20/20 or better at 12 months post treatment
RR 0.98 [0.92, 1.05]NRLow
Downgraded: imprecision, inconsistency
Within ± 0.50 D of target refraction at 12 months post treatment
RR 0.93 [0.84, 1.03]NRLow
Downgraded: imprecision, inconsistency
Loss of 1 or more lines of BSCVA at 12 months post treatment
RR 3 [0.13, 71.96]NRVery low
Downgraded: imprecision, inconsistency
Mean spherical equivalent at 12 months post treatment
no estimate extractedNRModerate
Downgraded: imprecision, inconsistency
Adverse outcomes ‐ corneal haze score at 12 months (grade 1.0 ‐ more prominent haze that does not interfere with visibility of fine iris details; grade 2.0 ‐ mild obscuration of iris details; grade 3.0 ‐ moderate obscuration of iris and lens; and ...
no estimate extractedNRVery low
Downgraded: imprecision, inconsistency
Adverse outcomes ‐ glare and halo scores at 3 months (grade 0 ‐ none; grade 1 ‐ very low; grade 2 ‐ low; grade 3 ‐ moderate; grade 4 ‐ high; and grade 5 ‐ very high)
no estimate extractedNRVery low
Downgraded: imprecision, inconsistency