Cochrane · systematic review · CD013559

Intense pulsed light (IPL) therapy for the treatment of meibomian gland dysfunction

Cote, S, Zhang, AC, Ahmadzai, V, et al. · Cochrane Database of Systematic Reviews · 2020 · 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 5 · 71.4%Low 2 · 28.6%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

IPL (with/without MGX) compared to sham or no treatment (with/without MGX) for the treatment of meibomian gland dysfunction

Population: people with meibomian gland dysfunction
7 questions
OutcomeEffectEvidenceStatus / GRADE
Dry eye symptoms, measured using the SPEED score at 3 months of
IPL (with/without MGX) vs sham or no treatment (with/without MGX)
MD 0NRVery low
Downgraded: risk of bias, imprecision, inconsistency
Incidence of adverse events at 3 months of
IPL (with/without MGX) vs sham or no treatment (with/without MGX)
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Sodium fluorescein TBUT, measured in seconds, at 3 months of
IPL (with/without MGX) vs sham or no treatment (with/without MGX)
MD 2.02NRLow
Downgraded: risk of bias, imprecision
NIBUT, measured in seconds, at 3 months of
IPL (with/without MGX) vs sham or no treatment (with/without MGX)
MD 5.5NRVery low
Downgraded: risk of bias, imprecision
Tear osmolarity, measured in mOsmol/L, at 3 months of
IPL (with/without MGX) vs sham or no treatment (with/without MGX)
no estimate extractedNRLow
Downgraded: imprecision
Meibomian gland orifice plugging, at 3 months of
IPL (with/without MGX) vs sham or no treatment (with/without MGX)
no estimate extractedNRVery low
Downgraded: risk of bias, inconsistency
Corneal sodium fluorescein staining, measured using a validated clinical scale, at 3 months of
IPL (with/without MGX) vs sham or no treatment (with/without MGX)
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency