Research Article

Aqueous Humor Mediator and Cytokine Aberrations in Diabetic Retinopathy and Diabetic Macular Edema: A Systematic Review and Meta-Analysis

Table 3

Subgroup analyses according to the location, diagnosis criteria of DR, and cytokine measurements.

Number of studiesSMD (95% CI)

Location
 Asia61.40 (0.65, 2.14)<0.00193.40%<0.001
 South America113.16 (10.31, 16.01)<0.001N.AN.A
 North America10.23 (-0.46, 0.93)0.513N.AN.A
Diagnosis criteria for DR
 ETDRS51.32 (0.25, 2.40)0.01693.10%<0.001
 Dilated fundoscopic examination12.01 (1.42, 2.59)<0.001N.AN.A
 International Clinical Diabetic Retinopathy Disease Severity Scale10.31 (0.03, 0.59)0.028N.AN.A
 Indirect ophthalmoscopy11.17 (0.62, 1.71)<0.001N.AN.A
Cytokine measurements
 ELISA34.26 (1.76, 6.75)0.00197.80%<0.001
 Luminex xMAP suspension array10.23 (-0.46, 0.93)0.513N.AN.A
 Multiplex bead array assay12.67 (1.79, 3.56)<0.001N.AN.A
 Magnetic color bead-based multiplex assay12.01 (1.42, 2.59)<0.001N.AN.A
 Multiplex bead immunoassay10.31 (0.03, 0.59)0.028N.AN.A
 Becton Dickinson CBA software11.17 (0.62, 1.71)<0.001N.AN.A

value for heterogeneity. SMD: standardized mean difference; ETDRS: Early Treatment Diabetic Retinopathy Study; N.A: not applicable; ELISA: enzyme-linked immunosorbent assay.