Cochrane · systematic review · CD009877

Optical correction of refractive error for preventing and treating eye symptoms in computer users

Heus, P, Verbeek, JH, Tikka, C · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

WorkAMSTAR 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
21
current version
GRADE rated
21
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 13 · 61.9%Low 8 · 38.1%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

Progressive computer glasses versus monofocal computer glasses

Population: computer workers
2 questions
OutcomeEffectEvidenceStatus / GRADE
Asthenopia (change from baseline to 12 months) VAS scale 0 to 100 12 months'
Progressive computer glasses vs monofocal computer glasses
no estimate extracted1 study · 186 participantsLow
Downgraded: risk of bias, imprecision
Headache (change from baseline to 12 months) VAS scale 0 to 100 12 months'
Progressive computer glasses vs monofocal computer glasses
no estimate extracted1 study · 186 participantsLow
Downgraded: risk of bias, imprecision

Progressive computer glasses with intermediate distance focus versus progressive glasses for daily use

Population: computer workers
4 questions
OutcomeEffectEvidenceStatus / GRADE
Asthenopia (two different scales), Short term
Progressive computer glasses with intermediate distance focus vs progressive glasses
no estimate extracted2 studies · 58 participantsLow
Downgraded: imprecision
Asthenopia Medium term
Progressive computer glasses with intermediate distance focus vs progressive glasses
no estimate extracted1 study · 35 participantsLow
Downgraded: imprecision
Headache scale 1 to 6 1‐week
Progressive computer glasses with intermediate distance focus vs progressive glasses
no estimate extracted1 study · 23 participantsLow
Downgraded: imprecision
Dizziness score 1 to 6 1‐week
Progressive computer glasses with intermediate distance focus vs progressive glasses
no estimate extracted1 study · 23 participantsLow
Downgraded: imprecision

Progressive computer glasses with intermediate distance focus versus monofocal computer glasses

Population: computer workers
2 questions
OutcomeEffectEvidenceStatus / GRADE
Asthenopia (change from baseline to 12 months) VAS scale 0 to 100 12 months'
Progressive computer glasses with intermediate distance focus vs monofocal computer glasses
no estimate extracted1 study · 64 participantsLow
Downgraded: risk of bias, imprecision
Headache (change from baseline to 12 months) VAS scale 0 to 100 12 months'
Progressive computer glasses with intermediate distance focus vs monofocal computer glasses
no estimate extracted1 study · 64 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Progressive computer glasses with far distance focus compared to bifocal computer lenses

Population: computer workers
4 questions
OutcomeEffectEvidenceStatus / GRADE
Asthenopia (improvement of symptoms after 4 weeks)
Progressive computer glasses with far distance focus vs bifocal computer lenses
RR 1 [0.8, 1.24]1 study · 38 participantsVery low
Downgraded: risk of bias
Headache (improvement of symptoms after 4 weeks)
Progressive computer glasses with far distance focus vs bifocal computer lenses
OR 1.43 [0.27, 7.55]1 study · 36 participantsVery low
Downgraded: risk of bias
Nausea (improvement of symptoms after 4 weeks)
Progressive computer glasses with far distance focus vs bifocal computer lenses
RR 1.29 [0.68, 2.45]1 study · 8 participantsVery low
Downgraded: risk of bias
Dizziness (improvement of symptoms after 4 weeks)
Progressive computer glasses with far distance focus vs bifocal computer lenses
RR 1 [0.25, 4]1 study · 8 participantsVery low
Downgraded: risk of bias

Progressive computer glasses with far distance focus versus trifocal computer glasses

Population: computer workers
2 questions
OutcomeEffectEvidenceStatus / GRADE
Asthenopia (eyestrain severity) Likert scale 0 to 10 3 weeks
Progressive computer glasses with far distance focus vs trifocal computer glasses
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision
Asthenopia (eyestrain frequency) Likert scale 0 to 10 3 weeks'
Progressive computer glasses with far distance focus vs trifocal computer glasses
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision

Progressive computer glasses with far distance focus versus monofocal computer glasses

Population: computer workers
2 questions
OutcomeEffectEvidenceStatus / GRADE
Asthenopia (change from baseline to 12 months) VAS scale 0 to 100 12 months'
Progressive computer glasses with far distance focus vs monofocal computer glasses
no estimate extracted1 study · 64 participantsLow
Downgraded: risk of bias, imprecision
Headache (change from baseline to 12 months) VAS scale 0 to 100 12 months'
Progressive computer glasses with far distance focus vs monofocal computer glasses
no estimate extracted1 study · 64 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Computer glasses versus Ergonomic assessment plus habitual (computer) glasses

Population: computer workers
5 questions
OutcomeEffectEvidenceStatus / GRADE
Asthenopia, summed score scale 1 to 140 3 weeks'
Computer glasses vs Ergonomic assessment plus habitual (computer) glasses
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision
Asthenopia Change score 3 weeks'
Computer glasses vs Ergonomic assessment plus habitual (computer) glasses
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision
Eyestrain (yes/no)
Computer glasses vs Ergonomic assessment plus habitual (computer) glasses
RR 0.95 [0.67, 1.34]1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision
Headache (yes/no)
Computer glasses vs Ergonomic assessment plus habitual (computer) glasses
RR 0.92 [0.52, 1.63]1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision
Upset stomach (yes/no)
Computer glasses vs Ergonomic assessment plus habitual (computer) glasses
RR 0.5 [0.14, 1.79]1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision