Cochrane · systematic review · CD012802

Ab interno supraciliary microstent surgery for open‐angle glaucoma

Sandhu, A, Jayaram, H, Hu, K, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 3 · 42.9%High 1 · 14.3%

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

Phacoemulsification + supraciliary microstent surgery versus phacoemulsification alone for open‐angle glaucoma, at 24 months

Population: people with open‐angle glaucoma
7 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants who were medication‐free (not using eye‐drops)at 24 months (medium‐term)
Phacoemulsification + supraciliary microstent surgery vs phacoemulsification alone
RR 1.27 [1.09, 1.49]1 study · 448 participantsModerate
Downgraded: risk of bias
Mean change in unmedicated IOP24 months (medium‐term)
Phacoemulsification + supraciliary microstent surgery vs phacoemulsification alone
no estimate extracted1 study · 448 participantsHigh
Mean change in daily IOP‐lowering medicationsat 24 months (medium‐term)
Phacoemulsification + supraciliary microstent surgery vs phacoemulsification alone
no estimate extracted1 study · 448 participantsModerate
Downgraded: risk of bias
Proportion of participants who required further glaucoma surgeryat 24 months (medium‐term)
Phacoemulsification + supraciliary microstent surgery vs phacoemulsification alone
RR 0.26 [0.07, 1.04]1 study · 505 participantsLow
Downgraded: risk of bias, imprecision
Mean change in health‐related quality of life
Phacoemulsification + supraciliary microstent surgery vs phacoemulsification alone
no estimate extractedNRNo studies
Rate of visual field progression or proportion of participants whose field loss progressedÂ
Phacoemulsification + supraciliary microstent surgery vs phacoemulsification alone
no estimate extractedNRNo studies
Proportion of participants experiencing postoperative complicationsover 24 months (medium‐term)
Phacoemulsification + supraciliary microstent surgery vs phacoemulsification alone
RR 1.1 [0.8, 1.4]1 study · 505 participantsModerate
Downgraded: risk of bias, imprecision