Evidence map›Paper›PMID 25055213›Full record

ArticleJournal of glaucoma2014

Reduction of conjunctival fibrosis after trabeculectomy using topical α-lipoic acid in rabbit eyes.

Metin Ekinci, Halil Hüseyin Cagatay, Erdinç Ceylan, Sadullah Keles, Yaran Koban, Gökçen Gokce, Urfettin Huseyinoğlu, Ece Ozcan, Mehmet E Oba

Open access · hybridAbstract read
In one paragraph

Article in Journal of glaucoma, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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  7. Review
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  9. Article
  10. Prolidase Enzyme Activity in Conjunctiva and Pterygium Tissues.Medical science monitor : international medical journal of experimental and clinical research · 2015
    Article
  11. 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

9 authors at 5 institutions in 4 countries.

Metin Ekinci*Kafkas University Medical School, Merkez Departments of †Ophthalmology ¶Anesthesiology #Pathology, University of Kafkas ∥Sarikamiş Military Hospital Ophthalmology Clinic, Kars ‡Erzurum Training and Research Hospital, Ophthalmology Clinic §Ophthalmology, University Of Atatürk, Erzurum, Turkey.
Halil Hüseyin Cagatay
Erdinç Ceylan
Sadullah Keles
Yaran Koban
Gökçen Gokce
Urfettin Huseyinoğlu
Ece Ozcan
Mehmet E Oba
Ophthalmology Associates (United States) · USKafkas University · TRAtatürk University · TRErzurum Regional Training and Research Hospital · TRMilitary Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy of α-lipoic acid (ALA) in reducing scarring after trabeculectomy. MATERIALS AND

methodsEighteen adult New Zealand white rabbits underwent trabeculectomy. During trabeculectomy, thin sponges were placed between the sclera and Tenon's capsule for 3 minutes, saline solution, mitomycin-C (MMC) and ALA was applied to the control group (CG) (n=6 eyes), MMC group (MMCG) (n=6 eyes), and ALA group (ALAG) (n=6 eyes), respectively. After surgery, topical saline and ALA was applied for 28 days to the control and ALAGs, respectively. Filtrating bleb patency was evaluated by using 0.1% trepan blue. Hematoxylin and eosin and Masson trichrome staining for toxicity, total cellularity, and collagen organization; α-smooth muscle actin immunohistochemistry staining performed for myofibroblast phenotype identification.

resultsClinical evaluation showed that all 6 blebs (100%) of the CG had failed, whereas there were only 2 failures (33%) in the ALAG and no failures in the MMCG on day 28. Histologic evaluation showed significantly lower inflammatory cell infiltration in the ALAGs and CGs than the MMCG. Toxicity change was more significant in the MMCG than the control and ALAGs. Collagen was better organized in the ALAG than control and MMCGs. In immunohistochemistry evaluation, ALA significantly reduced the population of cells expressing α-smooth muscle action.

conclusionsΑLA prevents and/or reduces fibrosis by inhibition of inflammation pathways, revascularization, and accumulation of extracellular matrix. It can be used as an agent for delaying tissue regeneration and for providing a more functional-permanent fistula.

Indexed as

TrabeculectomyAdministration, TopicalAnimalsAntioxidantsConjunctivaFibrosisIntraocular PressureMaleOphthalmic SolutionsRabbitsThioctic AcidAntioxidantsOphthalmic SolutionsThioctic Acid

Identifiers

PMID25055213
PMCPMC4162338
OpenAlexW2039518489

What OpenQuestion holds

Textmetadata
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.