Cochrane · systematic review · CD013029

Photobiomodulation for non‐exudative age‐related macular degeneration

Henein, C, Steel, DHW · 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
4
No studies
3
Included studies
NR
No studies 3 · 42.9%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 57.1%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

Photobiomodulation treatment compared to sham or no treatment for non‐exudative age‐related macular degeneration

Population: people with non‐exudative AMD (AREDS 2 to 4)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Best‐corrected visual acuity at 12 months [logMAR] Measured on the logMAR scale, range ‐1.3 to 1.0. Lower scores represent better vision.
Photobiomodulation treatment vs sham or no treatment
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Contrast sensitivity at Level E [18 cycles/degree] at 12 months Higher scores represent better contrast sensitivity.
Photobiomodulation treatment vs sham or no treatment
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Near vision
Photobiomodulation treatment vs sham or no treatment
no estimate extractedNRNo studies
Low luminance deficit score
Photobiomodulation treatment vs sham or no treatment
no estimate extractedNRNo studies
Reading speed
Photobiomodulation treatment vs sham or no treatment
no estimate extractedNRNo studies
Self‐reported visual function at 12 months
Photobiomodulation treatment vs sham or no treatment
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Adverse events: AMD progression at 12 months Defined as increased drusen volume or onset of advanced AMD. Conversion to exudative AMD at 12 months Assessed by clinical examination and retinal optical coherence tomography.
Photobiomodulation treatment vs sham or no treatment
RR 0.79 [0.41, 1.53]NRLow
Downgraded: risk of bias, imprecision