Cochrane · systematic review · CD010790

Laser therapy for retinopathy in sickle cell disease

Myint, KT, Sahoo, S, Thein, AW, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

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
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 3 · 50%Low 2 · 33.3%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

Summary of findings ‐ laser therapy compared with no laser therapy for retinopathy in sickle cell disease (SCD)

Population: children and adults with SCD and PSR
6 questions
OutcomeEffectEvidenceStatus / GRADE
Regression of PSR: change in number and size (in clock hours or in degrees of retinal circumference) of new blood vessels
Summary of findings ‐ laser therapy vs no laser therapy
no estimate extracted2 studies · 247 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Development of new PSR: proliferation of blood vessels at a new area/progression of existing PSR after treatment
Summary of findings ‐ laser therapy vs no laser therapy
no estimate extracted2 studies · 247 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Quality of life
Summary of findings ‐ laser therapy vs no laser therapy
no estimate extractedNRNo studies
Change in visual loss associated with PSR: visual loss is defined by the deterioration of visual acuity of 3 lines or more with the Snellen chart
Summary of findings ‐ laser therapy vs no laser therapy
no estimate extracted3 studies · 414 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Occurence of vitreous haemorrhage
Summary of findings ‐ laser therapy vs no laser therapy
no estimate extracted3 studies · 414 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Adverse effects
Summary of findings ‐ laser therapy vs no laser therapy
no estimate extracted3 studies · 414 participantsLow
Downgraded: risk of bias, imprecision, indirectness