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. 2011 Sep 7;2011(9):CD007645. doi: 10.1002/14651858.CD007645.pub2

Metha 2010.

Methods Randomised cross‐over trial.
Participants Neonates born at <31 weeks' gestation and expected to have at least 2 examinations for ROP.
Interventions Proparacaine HCl ophthalmic solution 0.5% or NaCl 0.9% (saline) eye drops.
Outcomes Pain assessed by PIPP.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated block randomisation.
Allocation concealment (selection bias) Low risk Only pharmacist was aware of allocation.
Blinding (performance bias and detection bias) 
 All outcomes Low risk Neither physician nor nurse recording score was aware of treatment group.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 10 patients did not have both examinations.
Selective reporting (reporting bias) Low risk  

PIPP: Premature Infant Pain Profile 
 ROP: retinopathy of prematurity