Evidence map›Paper›PMID 29089772›Full record

ArticleTherapeutics and clinical risk management2017

Isolated descemetorhexis for anterior synechiolysis prior to endothelial keratoplasty - case report and technique.

Konstantinos Droutsas, Konstantinos Andreanos, Apostolos Lazaridis, Ilias Georgalas, George Kymionis, Dimitris Papaconstantinou

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Therapeutics and clinical risk management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Konstantinos DroutsasFirst Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
Konstantinos AndreanosFirst Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
Apostolos LazaridisOphthalmology Department, Philipps University Marburg, Marburg, Germany.
Ilias GeorgalasFirst Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
George KymionisFirst Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
Dimitris PapaconstantinouFirst Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GRPhilipps University of Marburg · DEUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the utilization of descemetorhexis for reformation of the anterior chamber in eyes with central iridocorneal synechiae before endothelial keratoplasty (EK).

methodsA 71-year-old man with a history of trabeculectomy complicated by hypotony presented with bullous keratopathy in the presence of extensive iridocorneal synechiae and a flat anterior chamber. In order to proceed with EK, synechiolysis with the use of viscoelastic and scissors was attempted. Despite successful dissection of the peripheral strands, the pupillary margin of the iris remained attached to the endothelium. Therefore, descemetorhexis was performed to detach the Descemet membrane along with central synechiae and create sufficient space for safe EK at a later stage.

resultsCorneal clarity was restored by ultrathin Descemet stripping automated endothelial keratoplasty, leaving a fibrous membrane in the pupillary plane, which was excised 2 months later, allowing an improvement of best-corrected visual acuity to 0.5.

conclusionIsolated descemetorhexis was successfully employed to reform the anterior chamber and proceed with EK in a case of bullous keratopathy and resistant iridocorneal synechiae. This stepwise approach may be considered in similar cases in order to avoid a more invasive treatment, ie, penetrating keratoplasty and synechiolysis.

Indexed as

bullous keratopathydescemetorhexisendothelial keratoplastyiridocorneal synechiae

Identifiers

PMID29089772
PMCPMC5656357
OpenAlexW2765387646

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.