Evidence map›Paper›PMID 17035269›Full record

ArticleThe British journal of ophthalmology2007

Clinical characteristics of Mooren's ulcer in South India.

Muthaiah Srinivasan, Michael E Zegans, Joseph R Zelefsky, Arunava Kundu, Thomas Lietman, John P Whitcher, Emmett T Cunningham

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of ophthalmology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.8field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 63 citations in OpenAlex.

  1. Review
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  7. Review
  8. Article
  9. Partial lamellar keratoplasty for peripheral corneal disease using a graft from the glycerin-preserved corneoscleral rim.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2014
    Article
  10. Article
  11. Article
  12. Update on peripheral ulcerative keratitis.Clinical ophthalmology (Auckland, N.Z.) · 2012
    Article
  13. Review
  14. Etiology, clinical profile, and treatment outcome of peripheral ulcerative keratitis.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    Article
  15. Peripheral Ulcerative Keratitis: A Review.Journal of ophthalmic & vision research
    Review
  16. Mooren'S ulcer in ibadan, southwest Nigeria.Journal of the West African College of Surgeons
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Muthaiah SrinivasanAravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Michael E Zegans
Joseph R Zelefsky
Arunava Kundu
Thomas Lietman
John P Whitcher
Emmett T Cunningham
University of California, San Francisco · USAravind Eye Hospital · INNew York University · USSan Francisco Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe the clinical characteristics at presentation of a large cohort of patients with Mooren's ulcer in South India.

methodsThe medical records of patients with Mooren's ulcer examined in the cornea clinic at Aravind Eye Hospital Madurai, Tamil Nadu, India, over a 10-year period were reviewed in this retrospective observational case series.

resultsThe cohort contained 242 eyes of 166 patients. All patients were from South India, and men outnumbered women by a ratio of 4.7:1. The median and mean ages at presentation were 65 and 61 years, respectively, with a range of 13-95 years. One eye was affected in 90 of 166 (54%) patients. Visual acuity in the affected eye at presentation ranged from 6/6 to light perception, and was 6/12 or better in 34 of 242 (14%) eyes, between 6/12 and 3/60 in 168 (69%) eyes, and worse than 3/60 in 40 (17%) eyes. Partial peripheral corneal ulceration was observed in 222 (92%) eyes, complete peripheral corneal ulceration was observed in 15 (6%) eyes and total corneal ulceration was observed in 5 (2%) eyes. For those 222 eyes with partial peripheral ulceration, 152 (68%) showed temporal involvement, 129 (58%) showed nasal involvement, 116 (52%) showed inferior involvement and 30 (14%) showed superior involvement. Perforation was observed in 26 (11%) eyes, and was more common in eyes with peripheral as compared with total ulceration (p<0.001). Identified risk factors in the cohort included evidence of prior corneal surgery (22%), corneal trauma (17%) and corneal infection (2%).

conclusionsMooren's ulcer is a rare and potentially blinding eye condition observed not infrequently in the cornea clinic at Aravind Eye Hospital. Men are affected more often than women and may present with either unilateral or bilateral disease. Perforation is observed in approximately 1 in 10 affected eyes at presentation and occurs most often in the setting of peripheral ulceration. The occurrence of prior corneal surgery, trauma or infection in nearly one third of patients supports theories of exposure to corneal antigen in the pathogenesis of this disorder.

Indexed as

AdolescentAdultAgedCohort StudiesCorneal UlcerFemaleHumansIndiaMaleMiddle AgedRetrospective StudiesRisk FactorsRupture, SpontaneousVisual Acuity

Identifiers

PMID17035269
PMCPMC1954782
OpenAlexW2167480387

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.