Cochrane · systematic review · CD011874

Ocriplasmin for symptomatic vitreomacular adhesion

Neffendorf, JE, Kirthi, V, Pringle, E, et al. · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 4 · 57.1%High 3 · 42.9%

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

Ocriplasmin injection compared with control for symptomatic vitreomacular adhesion

Population: people with symptomatic vitreomacular adhesion
7 questions
OutcomeEffectEvidenceStatus / GRADE
Complete release of vitreous adhesion
Ocriplasmin injection vs control
RR 3.46 [2, 6]NRHigh
Closure of macular hole
Ocriplasmin injection vs control
RR 2.87 [1.5, 5.51]NRHigh
Complete posterior vitreous detachment
Ocriplasmin injection vs control
RR 2.94 [1.39, 6.24]NRHigh
3‐line or greater improvement in best‐corrected visual acuity
Ocriplasmin injection vs control
RR 1.95 [1.07, 3.53]NRModerate
Downgraded: imprecision
Requirement for vitrectomy
Ocriplasmin injection vs control
RR 0.67 [0.5, 0.91]NRModerate
Downgraded: imprecision
Mean change in validated visual function questionnaire score from baseline Score ranges from 0 to 100, higher scores are better visual function
Ocriplasmin injection vs control
no estimate extractedNRModerate
Downgraded: imprecision
Any ocular adverse event
Ocriplasmin injection vs control
RR 1.22 [1.09, 1.37]NRModerate
Downgraded: imprecision