Evidence map›Paper›PMID 25302296›Full record

Trial reportBioMed research international2014

Profile of microbial keratitis after corneal collagen cross-linking.

Rohit Shetty, Luci Kaweri, Rudy M M A Nuijts, Harsha Nagaraja, Vishal Arora, Rajesh S Kumar

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.0field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
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  3. Observational
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  7. Article
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  13. Review
  14. Article
  15. Article
  16. A case of infectious crystalline keratopathy after corneal cross-linking.American journal of ophthalmology case reports · 2021
    Article
  17. Article
  18. Hypersensitivity reactions after femtosecond laser small incision lenticule extraction: a case report of corneal infiltrates.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2020
    Article
  19. American journal of ophthalmology case reports · 2020
    Article
  20. 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 at 2 institutions in 2 countries.

Rohit ShettyNarayana Nethralaya Eye Hospital Bangalore, Narayana Nethralaya 121/C, Chord Road, 1st "R" Block, Rajajinagar, Bangalore, Karnataka 560 010, India.
Luci KaweriNarayana Nethralaya Eye Hospital Bangalore, Narayana Nethralaya 121/C, Chord Road, 1st "R" Block, Rajajinagar, Bangalore, Karnataka 560 010, India.
Rudy M M A NuijtsDepartment of Ophthalmology, University Hospital Maastricht, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Harsha NagarajaNarayana Nethralaya Eye Hospital Bangalore, Narayana Nethralaya 121/C, Chord Road, 1st "R" Block, Rajajinagar, Bangalore, Karnataka 560 010, India.
Vishal AroraNarayana Nethralaya Eye Hospital Bangalore, Narayana Nethralaya 121/C, Chord Road, 1st "R" Block, Rajajinagar, Bangalore, Karnataka 560 010, India.
Rajesh S KumarNarayana Nethralaya Eye Hospital Bangalore, Narayana Nethralaya 121/C, Chord Road, 1st "R" Block, Rajajinagar, Bangalore, Karnataka 560 010, India.
Narayana Nethralaya · INMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the profile of microbial keratitis occurring after corneal collagen cross-linking (CXL) in keratoconus patients.

methodsA retrospective analysis of 2350 patients (1715 conventional CXL, 310 transepithelial CXL, and 325 accelerated CXL) over 7 years (from January 2007 to January 2014) of progressive keratoconus, who underwent CXL at a tertiary eye care centre, was performed. Clinical findings, treatment, and course of disease of four eyes that developed postprocedural moxifloxacin resistant Staphylococcus aureus (MXRSA) infectious keratitis are highlighted.

resultsFour eyes that underwent CXL (0.0017%) had corneal infiltrates. All eyes that developed keratitis had conventional CXL. Corneal infiltrates were noted on the third postoperative day. Gram's stain as well as culture reported MXRSA as the causative agent in all cases. Polymerase chain reaction (PCR) in each case was positive for eubacterial genome. All patients were treated with fortified antibiotic eye drops, following which keratitis resolved over a 6-week period with scarring. All these patients were on long-term preoperative oral/topical steroids for chronic disorders (chronic vernal keratoconjunctivitis, bronchial asthma, and chronic eczema).

conclusionThe incidence of infectious keratitis after CXL is a rare complication (0.0017%). MXRSA is a potential organism for causing post-CXL keratitis and should be identified early and treated aggressively with fortified antibiotics.

Indexed as

AdolescentAdultAnti-Bacterial AgentsCausalityComorbidityCross-Linking ReagentsEye Infections, BacterialFemaleHumansIncidenceIndiaKeratitisKeratoconusMalePhotosensitizing AgentsRetrospective StudiesAnti-Bacterial AgentsCross-Linking ReagentsPhotosensitizing AgentsRiboflavin

Identifiers

PMID25302296
PMCPMC4180902
OpenAlexW1976614878

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.