Evidence map›Paper›PMID 24929203›Full record

ArticleExperimental eye research2014

BAC-EDTA transepithelial riboflavin-UVA crosslinking has greater biomechanical stiffening effect than standard epithelium-off in rabbit corneas.

Andre A M Torricelli, Matthew R Ford, Vivek Singh, Marcony R Santhiago, William J Dupps, Steven E Wilson

Abstract read
In one paragraph

Article in Experimental eye research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Transepithelial corneal cross-linking: a review.International ophthalmology · 2026
    Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Current perspectives on corneal collagen crosslinking (CXL).Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2018
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Noncontact Elastic Wave Imaging Optical Coherence Elastography for Evaluating Changes in Corneal Elasticity Due to Crosslinking.IEEE journal of selected topics in quantum electronics : a publication of the IEEE Lasers and Electro-optics Society
    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

6 authors.

Andre A M TorricelliCole Eye Institute, Cleveland Clinic, Cleveland, OH, USA; University of Sao Paulo, Sao Paulo, Brazil.
Matthew R FordCole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.
Vivek SinghLV Prasad Eye Institute, HERF, Hyderabad, AP, India.
Marcony R SanthiagoUniversity of Sao Paulo, Sao Paulo, Brazil; Federal University of Rio de Janeiro, Brazil.
William J DuppsCole Eye Institute, Cleveland Clinic, Cleveland, OH, USA; Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, OH, USA.
Steven E WilsonCole Eye Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: wilsons4@ccf.org.

Funding

Corneal Elastography and Patient-Specific Modeling for Simulation-based TherapyR01EY023381 · NEI · CLEVELAND CLINIC LERNER COM-CWRU · PI DUPPS, WILLIAM JOSEPH · 2013 to 2017
$2.0M
Vision Research Infrastructure Development GrantR24EY015638 · NEI · CLEVELAND CLINIC LERNER COM-CWRU · PI HOLLYFIELD, JOE GILBERT · 2004 to 2008
$1.1M
NEI NIH HHS EY015638NEI NIH HHS EY023381NEI NIH HHS R01 EY023381NEI NIH HHS R24 EY015638
6 · The paper itself

Abstract

Studies suggest that standard corneal collagen crosslinking (CXL) is a safe and effective treatment to stiffen the cornea for keratoconus and other ectatic corneal disorders. The purpose of the present study was to compare the biomechanical effects of transepithelial benzalkonium chloride-EDTA (BAC-EDTA) riboflavin-UVA crosslinking to standard epithelium-off riboflavin-UVA crosslinking in a rabbit model. Corneal stiffness was quantified using optical coherence elastography at two months after treatment. The mean lateral-to-axial displacement ratio for the BAC-EDTA transepithelial CXL group was lower (greater stiffness) [0.062 ± 0.042, mean ± SD] than epithelium-off CXL (mean ± SD: 0.065 ± 0.045) or untreated control eyes (0.069 ± 0.044). Using ANOVA with Tukey correction, a statistically significant difference was found between the BAC-EDTA transepithelial CXL group and standard epithelium-off CXL (p = 0.0019) or the untreated control (p < 0.0001) groups. A graph of the probability density functions for biomechanical stiffness also showed a greater shift in stiffening in the BAC-EDTA transepithelial CXL group than the standard epithelium-off CXL or untreated control group. These results demonstrated that the biomechanical stiffening effect produced by BAC-EDTA transepithelial CXL was greater than that produced by standard epithelium-off CXL in a rabbit model.

Indexed as

Analysis of VarianceAnimalsBenzalkonium CompoundsBiomechanical PhenomenaChelating AgentsCorneaCross-Linking ReagentsElasticityElasticity Imaging TechniquesModels, AnimalPhotosensitizing AgentsRabbitsRiboflavinUltraviolet RaysBenzalkonium CompoundsChelating AgentsCross-Linking ReagentsPhotosensitizing AgentsRiboflavinbiomechanicalcollagen crosslinkingcorneaectasiariboflavintransepithelial treatment

Identifiers

PMID24929203
PMCPMC4128899

What OpenQuestion holds

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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.