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. 2018 May 22;2018(5):CD011977. doi: 10.1002/14651858.CD011977.pub2

Bhattacharjee 2006.

Methods Study design: RCT
Study grouping: parallel group, with inter‐eye comparison (i.e., one eye received a blue‐light filtering IOL and the fellow eye received a non‐blue‐light filtering IOL).
Exclusions after randomisation: participants with intraoperative complications were excluded from the analysis; no further details were supplied.
Losses to follow‐up: not reported
How missing data were handled: not reported
Reported power size calculation? no
Participants Baseline characteristics
Blue‐light filtering IOL group
  • Number of participants: number of people (number of eyes): 13 (13)

  • Sex (number of women/number of men): 7/6

  • Age (mean ± unit of error): 62.15 ± 6.68 years (unit of error not specified)


Non‐blue‐light filtering IOL group
  • Number of participants: number of people (number of eyes): 13 (13)

  • Sex (number of women/number of men): 7/6

  • Age (mean ± unspecified unit of error): 62.15 ± 6.68 years (unit of error not specified)


Inclusion criteria: people ≥ 60 years with good general and ocular health having bilateral age‐related cataracts with a potential visual acuity of 20/40 or better, indicating cataract extraction and IOL implantation (in both eyes), and who agreed to have surgery in both eyes within a maximum interval of 60 days and were willing to complete a schedule of postoperative follow‐ups.
Exclusion criteria: people with pre‐existing systemic disease such as diabetes or hypertension, ocular disease, such as uveitis, or who failed the Farnsworth Munsell 100‐Hue test prior to surgery. To avoid the skew deviation of the results, people with an intraoperative complication such as hyphema, zonular rupture, or posterior capsule were also excluded.
Comparison of study groups at baseline: no group differences for the 26 eyes (13 participants) that were reported. However, we are unable to judge any potential group difference for participants who were excluded due to intraoperative complications.
Interventions Intervention characteristics
Blue‐light filtering IOL
  • Type of IOL: AcrySof Natural SN60AT (Alcon)


Non‐blue‐light filtering IOL
  • Type of IOL: AcrySof SA60AT (Alcon)

Outcomes Distance BCVA, colour perception and contrast sensitivity at 18 months postoperatively
Identification Sponsorship source:
Funding sources: Sri Kanchi Sankara Health Educational Foundation, Beltola, Guwahati, Assam, India
Declaration of interest: no author had a financial or proprietary interest in any material or method mentioned.
Country: India
Setting: Sri Sankaradeva Nethralaya Beltola, Assam, India
Comments:
Date study conducted: June‐August 2003
Trial registration number: not reported
Contacting study investigators: we emailed the study authors on 1 September 2017 for the means and standard deviations of the within‐pair differences in distance BCVA at follow‐up; no response was received. As a result, we could not incorporate these data in a meta‐analysis.
Corresponding author's name: Harsha Bhattacharjee, MS, Medical Director
Institution: Sri Sankaradeva Nethralaya Beltola, Assam, India
Email: ssnghy1@sify.com
Address: Harsha Bhattacharjee, MS, Medical Director SriSankaradeva Nethralaya Beltola, Guwahati 781028, Assam, India
Notes None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "On random selection basis in each patient"
Judgement comment: not reported how list was generated. Study is described as “randomised” but with no further details
Allocation concealment (selection bias) Unclear risk Judgement comment: not reported how allocation administered. Study is described as “randomised” but with no further details
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "patient‐masked, examiner‐masked"
Judgement comment: clearly states that participants and personnel were not aware of which intervention was received, but surgeon was not masked
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Judgement comment: clearly states that study was "examiner‐masked"
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Judgement comment: appears "patients with an intra‐operative complication... were also excluded" so not intention‐to‐treat and no indication of how many participants were excluded on these grounds
Selective reporting (reporting bias) Unclear risk Judgement comment: no access to protocol or trials registry entry
Other bias Low risk Judgement comment: no other apparent sources of bias