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. Author manuscript; available in PMC: 2015 Jan 10.
Published in final edited form as: Cochrane Database Syst Rev. 2013 Oct 23;10:CD003303. doi: 10.1002/14651858.CD003303.pub3
Diffractive spectacle mounted magnifiers compared to control for adults with low vision
Patient or population: Adults with low vision
Settings:
Intervention: Diffractive spectacle-mounted magnifiers
Comparison: Control
Comparison Outcomes Illustrative comparative risks* (95% CI) No of Participants (studies) Quality of the evidence (GRADE) Studies
Assumed risk Corresponding risk
Control Diffractive spectacle mounted magnifiers
Diffractive versus refractive-aspheric spectacle magnifier MNREAD maximum reading speed (words/minute) The mean maximum reading speed using refractive-aspheric spectacle magnifier was 99 words per minute The mean maximum reading speed using diffractive spectacle magnifier was 0.94 lower (16.56 lower to 14.68 higher) 15 (1 study) ⊕○⊕○ low1,2,3 Watson 2005
MNREAD critical print size (M print size) The mean critical print size using refractive-as-pheric spectacle magnifier was 1.17 logMAR The mean critical print size using diffractive spectacle magnifier was 0.10 lower (0.25 lower to 0.05 higher) 15 (1 study) ⊕⊕○○ low1,2,3 Watson 2005
Morgan Low Vision Reading Comprehension Assessment The mean reading comprehension using refractive-aspheric spectacle magnifier was 11.1 score The mean reading comprehension using diffractive spectacle magnifier was 1.98 higher (0.67 to 3.29 higher) 15 (1 study) ⊕⊕○○ low1,2,3 Watson 2005
Diffractive versus apla-natic spectacle magnifier MNREAD maximum reading speed (words/minute) The mean maximum reading speed using apla-natic spectacle magnifier was 110 words per minute The mean maximum 15 reading speed using (1 study) diffractive spectacle magnifier was 2.6 higher(11.88 lower to 17.08 higher) 15 (1 study) ⊕⊕○○ low1,2,3 Watson 2005
MNREAD critical print size (M print size) The mean critical print size using aplanatic spectacle magnifier was 1.03 logMAR The mean critical print 15 size using diffractive (1 study) spectacle magnifier was 0.19 lower (0.40 lower to 0.02 higher) 15 (1 study) ⊕⊕○○ low1,2,3 Watson 2005
Morgan Low Vision Reading Comprehension Assessment The mean reading comprehension using aplanatic spectacle magnifier was 13.5 score The mean reading com- 15 prehension using diffrac- (1 study) tive spectacle magnifier was 0.76 lower (1.98 lower to 0.46 higher) 15 (1 study) ⊕⊕○○ low1,2,3 Watson 2005
*

The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: Confidence interval;

GRADE Working Group grades of evidence

High quality: Further research is very unlikely to change our confidence in the estimate of effect.

Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.

Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.

Very low quality: We are very uncertain about the estimate.

1

Masking of participants not used in this review since it is not possible with low-vision aids.

2

Inconsistency cannot be assessed with only one included trial.

3

Wide 95% confidence interval.