Cochrane · systematic review · CD010621

Corneal collagen cross‐linking for treating keratoconus

Sykakis, E, Karim, R, Evans, JR, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
1
Included studies
NR
No studies 1 · 14.3%Ungraded 1 · 14.3%Very low 5 · 71.4%Low 0 · 0%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

Comparison

Population: people with keratoconus
7 questions
OutcomeEffectEvidenceStatus / GRADE
Progression (increase in maximal keratometry of 1.5 dioptres or more)
RR 0.12 [0.01, 2]1 study · 19 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Steepness of the cornea (maximal keratometry) (measured using dioptres. A higher dioptre represents steeper cornea and worse outcome)
no estimate extracted1 study · 94 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Uncorrected visual acuity (UCVA) (measured using logMAR scale. A score of 0 = good vision, higher score is worse vision)
no estimate extracted1 study · 94 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Corneal thickness at the thinnest part of the cornea (measured in microns)
no estimate extracted1 study · 94 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Absolute spherical equivalent (measured in dioptres)
no estimate extracted1 study · 94 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Quality of life
no estimate extractedNRNo studies
Adverse effects
no estimate extracted1 study · 3 participantsUngraded