Cochrane · systematic review · CD010516

Non‐steroidal anti‐inflammatory drugs versus corticosteroids for controlling inflammation after uncomplicated cataract surgery

Juthani, VV, Clearfield, E, Chuck, RS · 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
14
current version
GRADE rated
5
No studies
9
Included studies
NR
No studies 9 · 64.3%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 21.4%Moderate 2 · 14.3%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

Summary of findings for NSAIDs versus corticosteroids

Population: people who received phacoemulsification
7 questions
OutcomeEffectEvidenceStatus / GRADE
Intraocular inflammation measured by anterior chamber cell and flare 1 week
Summary of findings for NSAIDs vs corticosteroids
no estimate extracted3 studies · 174 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Intraocular inflammation measured by proportion of participants with corneal edema 1 week
Summary of findings for NSAIDs vs corticosteroids
RR 0.77 [0.26, 2.29]1 study · 114 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Proportion of participants with best‐corrected visual acuity of 20/40 1 week
Summary of findings for NSAIDs vs corticosteroids
no estimate extractedNRNo studies
Proportion of participants with cystoid macular edema 1 week
Summary of findings for NSAIDs vs corticosteroids
RR 0.26 [0.17, 0.41]4 studies · 291 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Time to cessation of treatment
Summary of findings for NSAIDs vs corticosteroids
no estimate extractedNRNo studies
Adverse events
Summary of findings for NSAIDs vs corticosteroids
no estimate extractedNRNo studies
Economic outcomes
Summary of findings for NSAIDs vs corticosteroids
no estimate extractedNRNo studies

Summary of findings for NSAIDs plus corticosteroids versus corticosteroids alone

Population: people who received phacoemulsification
7 questions
OutcomeEffectEvidenceStatus / GRADE
Intraocular inflammation measured by anterior chamber cell and flare 1 week
Summary of findings for NSAIDs plus corticosteroids vs corticosteroids alone
no estimate extractedNRNo studies
Intraocular inflammation measured by proportion of participants with corneal edema 1 week
Summary of findings for NSAIDs plus corticosteroids vs corticosteroids alone
RR 1.07 [0.98, 1.16]1 study · 138 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Proportion of participants with best‐corrected visual acuity of 20/40 1 week
Summary of findings for NSAIDs plus corticosteroids vs corticosteroids alone
no estimate extractedNRNo studies
Proportion of participants with cystoid macular edema 1 week
Summary of findings for NSAIDs plus corticosteroids vs corticosteroids alone
RR 0.17 [0.03, 0.97]2 studies · 220 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Time to cessation of treatment
Summary of findings for NSAIDs plus corticosteroids vs corticosteroids alone
no estimate extractedNRNo studies
Adverse events
Summary of findings for NSAIDs plus corticosteroids vs corticosteroids alone
no estimate extractedNRNo studies
Economic outcomes
Summary of findings for NSAIDs plus corticosteroids vs corticosteroids alone
no estimate extractedNRNo studies