Evidence map›Paper›PMID 23922266›Full record

ArticleThe British journal of ophthalmology2013

In vivo confocal microscopy and histopathology of the conjunctiva in trachomatous scarring and normal tissue: a systematic comparison.

Victor H Hu, Martin J Holland, Ian A Cree, James Pullin, Helen A Weiss, Patrick Massae, William Makupa, David C W Mabey, Robin L Bailey, Matthew J Burton and 1 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in The British journal of ophthalmology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Trachoma.Nature reviews. Disease primers · 2022
    Review
  5. Article
  6. Primary conjunctival tuberculosis in two middle-aged women.International journal of ophthalmology · 2020
    Article
  7. Immunofibrogenic Gene Expression Patterns in Tanzanian Children with OcularFrontiers in cellular and infection microbiology · 2017
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
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

11 authors at 3 institutions in 2 countries.

Victor H HuFaculty of Infectious and Tropical Diseases, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, , London, UK.
Martin J Holland
Ian A Cree
James Pullin
Helen A Weiss
Patrick Massae
William Makupa
David C W Mabey
Robin L Bailey
Matthew J Burton
Phil Luthert
London School of Hygiene & Tropical Medicine · GBUniversity College London · GBKilimanjaro Christian Medical Centre · TZ

Funding

Medical Research Council G0700837Wellcome Trust 100714Wellcome Trust 98481
6 · The paper itself

Abstract

aimTo compare in vivo confocal microscopy (IVCM) with the histopathological examination of tissue and cellular changes in normal and diseased conjunctiva.

methodsParticipants underwent clinical examination and IVCM of the tarsal conjunctiva. A biopsy of the upper tarsal conjunctiva was collected and stained with tinctorial stains and by immunohistochemical staining for CD45 and CD83. Connective tissue scarring, inflammatory cell density and the presence of dendritiform cells were quantitatively assessed in a masked manner by both IVCM and histological assessments for comparative analysis.

resultsThirty-four participants with severe trachomatous conjunctival scarring and 33 participants with healthy conjunctiva were recruited. The IVCM connective tissue scarring score was strongly associated with the histological grading of scarring (p<0.001). There was limited evidence of an association between the IVCM inflammatory cell infiltrate and the histological inflammatory cell grade (p=0.05). We did not find any evidence to support the hypothesis that dendritiform cells seen with IVCM are mature, conventional dendritic cells.

conclusionsThe results show that IVCM can be used to robustly quantitate connective tissue scarring and also has a role in measuring the inflammatory cell infiltrate. The discordance between IVCM dendritiform cells and immunohistochemical dendritic cells may be a result of study limitations or may be because these dendritiform structures represent another cell type, such as fibroblasts, rather than dendritic cells.

Indexed as

Microscopy, ConfocalAdultAgedAged, 80 and overCicatrixConjunctivaDendritic CellsFemaleHumansImmunohistochemistryLeukocyte Common AntigensMaleMiddle AgedTrachomaLeukocyte Common Antigens

Identifiers

PMID23922266
PMCPMC3786664
OpenAlexW2168574647

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.