Table 5.
Outcomes | Category | Outcome Endpoint | Studies (N)/ Eyes (N) | Estimate [95%CI] | Study Limitations | Inconsistency | Indirectness | Imprecision | Publication Bias | Certainty of Evidence (GRADE) |
---|---|---|---|---|---|---|---|---|---|---|
Primary Outcome [The overall prevalence of MME in glaucoma] | ||||||||||
Prevalence of MME | 10/2128 | 0.09 [0.05: 0.12] | Fair quality | Y | — | — | — | ⊕⊝⊝⊝ Very Low | ||
Secondary Outcomes [MME vs. Non-MME] | ||||||||||
Patients’ characteristics | ||||||||||
Age | 4/1386 | MD = −5.91 [−6.62: −5.20] | Fair quality | — | — | — | N/A | ⊕⊝⊝⊝ Very Low | ||
Gender [Male] | 3/873 | logOR= 0.60 [−1.26: 0.06] | Fair quality | — | — | — | N/A | ⊕⊝⊝⊝ Very Low | ||
Stage of glaucoma | ||||||||||
Early | 3/1168 | LogOR = −1.84 [−3.51: −0.17]a | Fair quality | Y | — | Y | N/A | ⊕⊝⊝⊝ Very Low | ||
Moderate | 3/524 | LogOR = −1.14 [1.86: −0.43] | Fair quality | — | — | — | N/A | ⊕⊝⊝⊝ Very Low | ||
Advanced | 3/1168 | LogOR= 1.41 [0.72: 2.09] | Fair quality | — | — | — | N/A | ⊕⊝⊝⊝ Very Low | ||
Ocular parameters | ||||||||||
Axial Length | 2/532 | MD = −0.04 [−0.68: 0.60] | Fair quality | — | — | — | N/A | ⊕⊝⊝⊝ Very Low | ||
Intraocular Pressure | 2/532 | MD = −0.04 [−1.04: 0.96] | Fair quality | — | — | — | N/A | ⊕⊝⊝⊝ Very Low | ||
Mean Deviation of VF | 3/1168 | MD = −5.00 [−7.01: −2.99]b | Fair quality | Y | — | Y | N/A | ⊕⊝⊝⊝ Very Low | ||
Spherical Equivalent | 2/532 | MD = −0.04 [−0.68: 0.60] | Fair quality | — | — | — | N/A | ⊕⊝⊝⊝ Very Low |
N number, N/A not applicable because the meta-analysis was based on only one study, RoB risk of bias, GRADE Grading of Recommendations, Assessment, Development and Evaluation, Y yes, MD mean difference, LogOR log odds ratio, VF visual field, MME microcystic macular edema
aThis effect estimate was reported as per the leave-one-out sensitivity analysis following the exclusion of the study of Mahmoudinezhad et al. [21]
bThis effect estimate was reported as per the leave-one-out sensitivity analysis following the exclusion of the study of Hasegawa et al. [16]