Evidence map›Paper›PMID 27096374›Full record

ReviewCurrent opinion in ophthalmology2016

Use of adjunctive topical corticosteroids in bacterial keratitis.

Nina Ni, Muthiah Srinivasan, Stephen D McLeod, Nisha R Acharya, Thomas M Lietman, Jennifer Rose-Nussbaumer

Abstract readReview
In one paragraph

Review in Current opinion in ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Review
  3. Streptococcus pneumoniae keratitis: epidemiology and outcomes over 6 years in a French eye care center.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  4. Article
  5. Article
  6. Updated Review onClinical microbiology reviews · 2022
    Review
  7. Case reports in ophthalmological medicine · 2022
    Article
  8. Review
  9. Article
  10. Interventions and Outcomes in Patients with InfectiousOcular immunology and inflammation · 2019
    Article
  11. Article
  12. Challenges of corneal infections.Expert review of ophthalmology · 2016
    Article
  13. Anti-inflammatory treatments in microbial keratitis.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological 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 at 3 institutions in 2 countries.

Nina NiaFrancis I. Proctor Foundation bDepartment of Ophthalmology, University of California San Francisco, San Francisco, California, USA cAravind Eye Hospital, Madurai, India dDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA.
Muthiah Srinivasan
Stephen D McLeod
Nisha R Acharya
Thomas M Lietman
Jennifer Rose-Nussbaumer
Aravind Eye Hospital · INUniversity of California, San Francisco · USSan Francisco Foundation · US

Funding

Predictions of Response to Treatment in Fungal KeratitisK23EY025025 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROSE-NUSSBAUMER, JENNIFER · 2015 to 2019
$1.2M
NEI NIH HHS K23 EY025025
6 · The paper itself

Abstract

purpose of reviewTopical corticosteroid use in the setting of infectious keratitis has been a controversial issue. The aim of this review is to provide an update on the evidence for use of topical corticosteroids in addition to antibiotics in bacterial keratitis. RECENT

findingsJudicious use of steroids is postulated to limit the inflammatory component of bacterial keratitis, but can theoretically retard healing. Three small randomized controlled trials and one large-scale trial, the Steroids for Corneal Ulcers Trial, have provided the most recent evidence to address this debate. Adjunctive topical corticosteroids initiated after at least 48 h of antibiotic usage in cases of culture-proven bacterial keratitis appear generally safe in the treatment of bacterial keratitis. They may be beneficial in cases of severe ulcers especially when initiated early in the course of the infection, in non-Nocardia ulcers, and in certain Pseudomonas ulcers. SUMMARY: Several randomized controlled trials have greatly contributed to our understanding of the controversy over steroid use in the management of bacterial keratitis. Future studies are needed to confirm subgroup analysis findings and define optimal timing, dosage, and the most appropriate treatment populations.

Indexed as

Administration, TopicalAdrenal Cortex HormonesAnti-Bacterial AgentsCorneal UlcerDrug Therapy, CombinationEye Infections, BacterialHumansKeratitisRandomized Controlled Trials as TopicVisual AcuityAdrenal Cortex HormonesAnti-Bacterial Agents

Identifiers

PMID27096374
PMCPMC6038813
OpenAlexW2340955824

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.