Evidence map›Paper›PMID 25868758›Full record

Trial reportAmerican journal of ophthalmology2015

Changes in Keratocyte Density and Visual Function Five Years After Laser In Situ Keratomileusis: Femtosecond Laser Versus Mechanical Microkeratome.

Jay W McLaren, William M Bourne, Leo J Maguire, Sanjay V Patel

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Update on Corneal Confocal Microscopy Imaging.Diagnostics (Basel, Switzerland) · 2022
    Review
  4. Article
  5. 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

4 authors at 1 institution in 1 country.

Jay W McLarenDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
William M BourneDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
Leo J MaguireDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
Sanjay V PatelDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota. Electronic address: patel.sanjay@mayo.edu.
Mayo Clinic · US

Funding

STUDIES OF THE CORNEAR01EY002037 · NEI · MAYO CLINIC ROCHESTER · PI BOURNE, WILLIAM M · 1985 to 2007
$3.6M
NEI NIH HHS EY 02037NEI NIH HHS R01 EY002037
6 · The paper itself

Abstract

purposeTo determine the effects of keratocyte loss on optical properties and vision after laser in situ keratomileusis (LASIK) with the flap created with a femtosecond laser or a mechanical microkeratome.

designRandomized clinical paired-eye study.

methodsBoth eyes of 21 patients received LASIK for myopia or myopic astigmatism. One eye of each patient was randomized by ocular dominance to flap creation with a femtosecond laser and the other eye to flap creation with a mechanical microkeratome. Before LASIK and at 1, 3, and 6 months and 1, 3, and 5 years after LASIK, keratocyte density was measured using confocal microscopy, and high-contrast visual acuity and anterior corneal wavefront aberrations were measured by standard methods. At each visit, all variables were compared between methods of creating the flap and to the same variable before treatment using paired tests with Bonferroni correction for multiple comparisons.

resultsKeratocyte density in the flap decreased by 20% during the first year after LASIK and remained low through 5 years (P < .001). High-order wavefront aberrations increased and uncorrected visual acuity improved immediately after surgery, but these variables did not change further to 5 years. There were no differences in any variables between treatments.

conclusionsA sustained reduction in keratocyte density does not affect vision or optical properties of the cornea through 5 years after LASIK. The method of creating a LASIK flap does not influence the changes in keratocyte density in the flap.

Indexed as

Keratomileusis, Laser In SituAdultAstigmatismCell CountCorneal KeratocytesCorneal Wavefront AberrationFemaleHumansLasers, ExcimerMaleMicroscopy, ConfocalMiddle AgedMyopiaSurgical FlapsTime FactorsVisual Acuity

Identifiers

PMID25868758
PMCPMC4464960
OpenAlexW2023027504

What OpenQuestion holds

Textmetadata
LicenceTDM
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.