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

Yamaguchi 2011.

Methods Study design: RCT
Study grouping: parallel group, involving 92 people (120 eyes), but with no further details regarding the allocation of interventions
Exclusions after randomisation: not reported. Participants could have been potentially excluded on the basis of having complications during cataract surgery or postoperatively. The authors do state that "no eyes had any postoperative complication", but no details were provided in relation to potential intraoperative complications.
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 1 (SN60WF)
  • Number of participants: number of people (number of eyes): ? (30)

  • Sex (number of women/number of men): 16/14

  • Age (mean ± SD): 68.7 ± 9.9 years


Non‐blue‐light filtering IOL group
  • Number of participants: number of people (number of eyes): ? (30)

  • Sex (number of women/number of men): 14/16

  • Age (mean ± SD): 68.6 ± 3.8 years


Blue‐light filtering IOL group 2 (SN60AT)
  • Number of participants: number of people (number of eyes): ? (30)

  • Sex (number of women/number of men): 18/12

  • Age (mean ± SD): 68.1 ± 8.7 years


Blue‐light filtering IOL group 3 (PY60AD)
  • Number of participants: number of people (number of eyes): ? (30)

  • Sex (number of women/number of men): 15/15

  • Age (mean ± SD): 68.5 ± 9.0 years


Inclusion criteria: people with significant senile cataract and postoperative visual acuity better than 20/20 were eligible for inclusion in the study.
Exclusion criteria: people with previous or coexistent ocular pathology and complications during cataract surgery or postoperatively
Comparison of study groups at baseline: the authors state that "there was no significant difference in the average IOL powers, age, and postoperative refraction, astigmatism, and pupil diameters under photopic and mesopic conditions between the three types of aspheric and one type of spherical IOLs (Kruskal–Wallis test, p > 0.05)" for those eligible to participate. However, those with intraoperative complications were excluded, and there is no details about these potential events/participants. Also, some participants received bilateral implants but there was no description of first eye versus second eye.
Interventions Intervention characteristics
Blue‐light filtering IOL 1
  • Type of IOL: Acrysof IQ SN60WF (Alcon)


Non‐blue‐light filtering IOL
  • Type of IOL: Tecnis ZA9003 (AMO)


Blue‐light filtering IOL 2
  • Type of IOL: AcrySof SN60AT (Alcon)


Blue‐light filtering IOL 3
  • Type of IOL: PY60AD (Hoya)

Outcomes Contrast sensitivity, higher‐order aberrations of the whole eye, and pupil diameter under photopic and mesopic conditions were measured one month postoperatively. Higher‐order aberrations were decomposed into Zernike coefficients, calculated according to individual pupil diameter. The correlation between higher‐order aberrations and contrast sensitivity was evaluated.
Identification Sponsorship source:
Funding sources: not reported
Declaration of interest: the authors report no conflicts of interest in this work
Country: Japan
Setting: Keio University Hospital, Japan
Comments:
Date study conducted: October 2007‐December 2009
Trial registration number: not reported
Contacting study investigators: study authors not contacted; no additional information used for review
First author's name: Takefumi Yamaguchi
Institution: Department of Ophthalmology, Keio University School of Medicine
Email: yama19770614@hotmail.com
Corresonding author's address:
Takefumi Yamaguchi
Department of Ophthalmology
Keio University School of Medicine
Shinanomachi 35, Shinjuku, Tokyo, Japan
Notes None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Judgement comment: trial is described as “randomised” but with no further details
Allocation concealment (selection bias) Unclear risk Judgement comment: trial is described as “randomised” but with no further details
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Judgement comment: no information provided 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 provided on masking. We assume that in absence of reporting on this, outcome assessors were not masked.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Quote: "Exclusion criteria were previous or coexistent ocular pathology and complications during cataract surgery or postoperatively."
Judgement comment: completeness of outcome data is unclear as participants with complications during cataract surgery were potentially excluded from the analysis
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