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. 2016 Nov 1;2016(11):CD006683. doi: 10.1002/14651858.CD006683.pub3

Moschos 2012.

Methods Study design: Parallel group RCT
Participants Country: Greece
Setting: Eye hospital
Intervention: NSAIDs plus steroids
  • Number of people (eyes) randomised: 38 (38)

  • Number (%) of people followed up: NR

  • Average age in years: 77

  • Age range in years: NR

  • Percentage women: 68%

  • Ethnic group: NR

  • Percentage with diabetes: 0 (excluded)

  • Percentage with uveitis: 0 (excluded)


Comparator: Steroids alone
  • Number of people (eyes) randomised: 41 (41)

  • Number (%) of people followed up: NR

  • Average age in years: 77

  • Age range in years: NR

  • Percentage women: 63%

  • Ethnic group: NR

  • Percentage with diabetes: 0 (excluded)

  • Percentage with uveitis: 0 (excluded)


Inclusion criteria: Patients requiring phacoemulsification cataract surgery.
Exclusion criteria: Presence of corneal abnormalities; history of intraocular surgery; preoperative ECC < 1500 cells/mm2; history of uveitis, diabetes, and age‐related macular degeneration; regular, systemic use of steroid or NSAIDs during the previous 3 months; and intraoperative complications, such as posterior capsule rupture, vitreous loss, lost nucleus, zonule dehiscence, and wound leak.
Pretreatment: No major imbalances noted.
Eyes: One eye, unclear how selected.
Interventions Intervention: NSAIDs plus steroids
  • diclofenac sodium 0.1% (Denaclof, Novartis Hellas, Athens, Greece)

    • Times per day: 3 times

    • Duration preoperative: days: 3

    • Duration postoperative: days: 28

  • dexamethasone sodium phosphate 0.1% (combined with chloramphenicol 0.5%) (Dispersadron (Novartis Hellas, Athens, Greece)

    • Times per day: 4 times

    • Duration preoperative: days: 0

    • Duration postoperative: days: 28


Comparator: Steroids alone
  • dexamethasone sodium phosphate 0.1% (combined with chloramphenicol 0.5%) (Dispersadron, Novartis Hellas, Athens, Greece)

    • Times per day: 4 times

    • Duration preoperative: days: 0

    • Duration postoperative: days: 28


Type of surgery: Phacoemulsification
Outcomes Follow‐up: 1 month
  • CRT at follow‐up (final value)

  • BCVA logMAR (final value)

Contact details Authors name: Irini P. Chatziralli
Institution: Department of Ophthalmology University of Athens
Email: eirchat@yahoo.gr
Address: Department of Ophthalmology, University of Athens, 28 Papanastasiou street 17342 Athens, Greece
Notes Funding sources: NR
Declaration of interest: "No competing financial interests exist."
Date study conducted: NR
Trial registration number: NR
Contacting study investigators: Trial authors not contacted.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Patients were randomised (through random number generation) to 1 of the 2 postoperative treatment arms."
Allocation concealment (selection bias) Unclear risk Judgement comment: Not reported how allocation administered. Trial described as “randomised” but with no further details.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Judgement comment: No information on masking. We assume that in absence of reporting on this patients and personnel were not masked.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Judgement comment: No information on masking. We assume that in absence of reporting on this patients and personnel were not masked.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Judgement comment: Follow‐up not reported.
Selective reporting (reporting bias) Unclear risk Judgement comment: No access to protocol or trial registry entry.