Meta AnalysisID 7883

毛果芸香碱(1.25%)治疗老视的有效性和安全性的系统评价和Meta分析

CRD42023418875

How effective and safe pilocarpine 1.25% is in presbyopia management?

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Record Fields

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Meta Analysis Id
7883
Evidence Id
16441
Core Evidence Id
16441
Source Meta Analysis Id
7879
Herb2 Meta Analysis Id
HBMA007879
Crd Id
CRD42023418875
Title
Systematic review and meta-analysis on the efficacy and safety of Pilocarpine (1.25%) in presbyopia treatment
Review Question
How effective and safe pilocarpine 1.25% is in presbyopia management?
Study Type Included
To be included in review - Randomized control trials, Case series, case reports, conference presentations. Excluded - Any clinical studies that used topical pilocarpine at a concentration other than 1.25%, Review articles, Observational studies.
Condition Being Studied
Presbyopia is an age-related insufficiency of accommodation leading to the inability to focus clearly on near objects. This decrease in amplitude of accommodation is due to decreasing efficiency of ciliary muscles, sclerosis of the crystalline lens fibres, and changes in its capsule which reduce the spontaneous steepening of its surfaces when the ciliary muscle contracts.
Participant
Inclusion - Subjects with objective and subjective evidence of presbyopia, >40 years of age where pilocarpine 1.25% was used for its management. Exclusion - Concomitant use of any other topical medication.
Animal
Human Disease Modelled
Intervention
Pilocarpine 1.25% ophthalmic solution.
Comparator Control
In RCT - Vehicle
Main Outcome
Primary outcome measure - Improvement in binocular distance-corrected near visual acuity (DCNVA) measured at 40 cm, from baseline (day 1) to hour 3 on day 14 or on day 30 of pilocarpine use. The percentage of participants gaining 3 lines or more in DCNVA, without losing more than 5 letters of high contrast, binocular corrected distance visual acuity, with the same refractive correction will be taken into account.
Outcome Measure
Additional Outcome
Secondary outcome measure - 1. Improvement in high-contrast, binocular distance-corrected intermediate visual acuity measured at 66cm from baseline (day 1) to hour 3 on day 14 or on day 30 of pilocarpine use. 2. Adverse events
Study Method
Meta-analysis, Systematic review
Keyword
Humans; Pilocarpine; Presbyopia; Xerostomia
Contact
MAMTA SINGH [email protected]
Organisational Affiliation
All India Institute of Medical Sciences. Rajkot.
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
India
Review Stage
Review Ongoing
First Submission Date
2023-04-20
Registration Date
2023-04-30
Anticipated Start Date
2023-03-30
Anticipated Completion Date
2023-06-04
Title Cn
毛果芸香碱(1.25%)治疗老视的有效性和安全性的系统评价和Meta分析
Title En
Systematic review and meta-analysis on the efficacy and safety of Pilocarpine (1.25%) in presbyopia treatment
Bilingual Status
complete