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Ivermectin for onchocercal eye disease (river blindness) (Review)

Ivermectin for onchocercal eye disease (river blindness) (Review)

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Dadzie 1989 (Continued)<br />

Blinding?<br />

All outcomes<br />

Incomplete outcome data addressed?<br />

All outcomes<br />

Unclear See above <strong>for</strong> allocation concealment whcih<br />

would also suggest that blinding was adequate.<br />

However, ”The code of the study was<br />

broken after the month 6 review“ Dadzie<br />

et al, page 356. The significance of this <strong>for</strong><br />

subsequent examinations (at 12 months) is<br />

unclear.<br />

Unclear ”Only 154 of the 198 patients who were<br />

ophthalmologically examined on all occasions<br />

were considered in the analysis of the<br />

results.<br />

Free of selective reporting? Unclear See Table 3<br />

Taylor 1988<br />

Methods Method of allocation: Individual randomisation using computer generated random numbers.<br />

Drug administered in coded packages.<br />

Masking: provider, participants and outcome assessors masked.<br />

Participants Country: Grand Bassa County - Liberia.<br />

Type of <strong>river</strong> <strong>blindness</strong>: <strong>for</strong>est type.<br />

Number randomised: 200.<br />

Age: 12 to 60 years.<br />

Sex: male and female.<br />

Inclusion criteria: heavy skin microfilarial count greater than 15 microfilariae/mg skin.<br />

Exclusion criteria: pregnant and lactating women; people who had received anti-filaricidal<br />

drug within 1 year.<br />

Interventions Treatment: single dose ivermectin tablets taken orally and given annually.<br />

Dose: 100 ug/kg or 150 ug/kg or 200 ug/kg.<br />

Control: placebo tablet given as single dose.<br />

Duration of follow up: 1 year.<br />

Outcomes Visual acuity; Visual field; Skin, cornea, anterior chamber microfilarial count (geometric<br />

mean)**; Punctate opacity load (geometric mean)**; Ocular reaction index; Sclerosing<br />

keratitis; Anterior uveitis; Retinal pigment epithelial atrophy; Optic nerve changes.<br />

Notes Number analysed in treatment groups not reported, there<strong>for</strong>e number randomised to<br />

treatment groups used <strong>for</strong> analyses.<br />

Risk of bias<br />

Item Authors’ judgement Description<br />

<strong>Ivermectin</strong> <strong>for</strong> <strong>onchocercal</strong> <strong>eye</strong> <strong>disease</strong> (<strong>river</strong> <strong>blindness</strong>) (<strong>Review</strong>)<br />

Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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