Cochrane · systematic review · CD012223
Cyclodestructive procedures for refractory glaucoma
Chen, MF, Kim, CH, Coleman, AL · Cochrane Database of Systematic Reviews · 2019 · 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
28
current version
GRADE rated
9
No studies
12
Included studies
NR
No studies 12 · 42.9%Ungraded 7 · 25%Very low 7 · 25%Low 2 · 7.1%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
Endoscopic cyclophotocoagulation compared with the Ahmed drainage implant for refractory glaucoma
Population: adults with refractory glaucoma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain control change from baseline 12 months postintervention Endoscopic cyclophotocoagulation vs the Ahmed drainage implant | no estimate extracted | NR | No studies |
Mean change in IOP measured in mmHg 12 months postintervention Endoscopic cyclophotocoagulation vs the Ahmed drainage implant | no estimate extracted | 1 study · 58 participants | Low Downgraded: risk of bias, imprecision |
Mean change in best‐corrected visual acuity measured by logMAR 12 months postintervention Endoscopic cyclophotocoagulation vs the Ahmed drainage implant | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Mean change in mean deviation in study eyes 12 months postintervention Endoscopic cyclophotocoagulation vs the Ahmed drainage implant | no estimate extracted | NR | No studies |
Mean number of glaucoma medications 12 months postintervention Endoscopic cyclophotocoagulation vs the Ahmed drainage implant | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse events 12 months postintervention Endoscopic cyclophotocoagulation vs the Ahmed drainage implant | no estimate extracted | 1 study · 68 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Mean change in quality of life scores 12 months postintervention Endoscopic cyclophotocoagulation vs the Ahmed drainage implant | no estimate extracted | NR | No studies |
Micropulse versus continuous‐wave cyclophotocoagulation for refractory glaucoma
Population: adults with refractory glaucoma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain control change from baseline 12 months postintervention Micropulse vs continuous‐wave cyclophotocoagulation | no estimate extracted | 1 study · 44 participants | Ungraded |
Mean change in IOP measured in mmHg 12 months postintervention Micropulse vs continuous‐wave cyclophotocoagulation | no estimate extracted | 1 study · 48 participants | Ungraded |
Mean change in best‐corrected visual acuity measured by logMAR 12 months postintervention Micropulse vs continuous‐wave cyclophotocoagulation | no estimate extracted | 1 study · 48 participants | Ungraded |
Mean change in the mean deviation in study eyes change from baseline 12 months postintervention Micropulse vs continuous‐wave cyclophotocoagulation | no estimate extracted | NR | No studies |
Mean number of glaucoma medications 12 months postintervention Micropulse vs continuous‐wave cyclophotocoagulation | no estimate extracted | 1 study · 46 participants | Ungraded |
Adverse events 12 months postintervention Micropulse vs continuous‐wave cyclophotocoagulation | no estimate extracted | 1 study · 46 participants | Ungraded |
Mean change in quality of life scores 12 months postintervention Micropulse vs continuous‐wave cyclophotocoagulation | no estimate extracted | NR | No studies |
Comparison of two cyclophotocoagulation lasers for refractory glaucoma
Population: adults with refractory glaucoma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain control change from baseline 12 months postintervention | no estimate extracted | NR | No studies |
Mean change in IOP measured in mmHg 12 months postintervention | no estimate extracted | 1 study · 95 participants | Low Downgraded: risk of bias, imprecision |
Mean change in best‐corrected visual acuity measured by logMAR 12 months postintervention | no estimate extracted | 2 studies · 127 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Mean change in the mean deviation in study eyes change from baseline 12 months postintervention | no estimate extracted | NR | No studies |
Mean number of glaucoma medications 12 months postintervention | no estimate extracted | NR | No studies |
Adverse events 12 months postintervention | no estimate extracted | NR | No studies |
Mean change in quality of life scores 12 months postintervention | no estimate extracted | NR | No studies |
Comparison of two cyclophotocoagulation energy levels for refractory glaucoma
Population: adults with refractory glaucoma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain control change from baseline 12 months postintervention | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Mean change in IOP measured in mmHg 12 months postintervention | no estimate extracted | 1 study · 89 participants | Ungraded |
Mean change in best‐corrected visual acuity measured by logMAR 12 months postintervention | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Mean change in the mean deviation in study eyes change from baseline 12 months postintervention | no estimate extracted | NR | No studies |
Mean number of glaucoma medications 12 months postintervention | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse events 12 months postintervention | no estimate extracted | 1 study · 50 participants | Ungraded |
Mean change in quality of life scores 12 months postintervention | no estimate extracted | NR | No studies |