Cochrane · systematic review · CD011290

Interventions for eye movement disorders due to acquired brain injury

Rowe, FJ, Hanna, K, Evans, JR, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
8
current version
GRADE rated
6
No studies
2
Included studies
NR
No studies 2 · 25%Ungraded 0 · 0%Very low 3 · 37.5%Low 3 · 37.5%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

Botulinum toxin versus observation

Population: people with sixth nerve palsy
5 questions
OutcomeEffectEvidenceStatus / GRADE
Improvement in ocular motility (ocular alignment ≤ 10 prism dioptres).
Botulinum toxin vs observation
RR 1.19 [0.96, 1.48]1 study · 47 participantsLow
Downgraded: risk of bias, imprecision
Achievement of binocular single vision (fusion and stereopsis present).
Botulinum toxin vs observation
RR 1.19 [0.96, 1.48]1 study · 47 participantsLow
Downgraded: risk of bias, imprecision
Improvement in functional ability
Botulinum toxin vs observation
no estimate extractedNRNo studies
Quality of life
Botulinum toxin vs observation
no estimate extractedNRNo studies
Adverse events.
Botulinum toxin vs observation
no estimate extracted1 study · 47 participantsLow
Downgraded: risk of bias, imprecision

Pharmacological treatment

Population: people with acquired nystagmus
3 questions
OutcomeEffectEvidenceStatus / GRADE
Gabapentin up to 900 mg/day) versus baclofen (up to 30 mg/day).
no estimate extracted1 study · 21 participantsVery low
Downgraded: risk of bias, imprecision
3,4‐DAP (20 mg, single dose) versus placebo. Assessments made 30 minutes after taking the drug or placebo
no estimate extracted1 study · 17 participantsVery low
Downgraded: risk of bias, imprecision
4‐AP (10 mg, single dose) versus 3,4‐DAP (10 mg, single dose) Assessments made at 45 and 90 minutes after taking the drug
no estimate extracted1 study · 8 participantsVery low
Downgraded: risk of bias, imprecision