Evidence map›Paper›PMID 29116549›Full record

ArticleInternational ophthalmology2018

Transepithelial accelerated corneal collagen cross-linking with higher oxygen availability for keratoconus: 1-year results.

Ling Sun, Meng Li, Xiaoyu Zhang, Mi Tian, Tian Han, Jing Zhao, Xingtao Zhou

Abstract read
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In one paragraph

Article in International ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pulsed corneal crosslinking in the treatment of Keratoconus: a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Pooled it
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  14. Current concepts in crosslinking thin corneas.Indian journal of ophthalmology · 2019
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  16. Advances in the diagnosis and treatment of keratoconus.Therapeutic advances in ophthalmology
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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

7 authors.

Ling SunKey Laboratory of Myopia, Ministry of Health, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 FenYang Road, Shanghai, 200031, China.
Meng LiKey Laboratory of Myopia, Ministry of Health, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 FenYang Road, Shanghai, 200031, China.
Xiaoyu ZhangKey Laboratory of Myopia, Ministry of Health, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 FenYang Road, Shanghai, 200031, China.
Mi TianKey Laboratory of Myopia, Ministry of Health, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 FenYang Road, Shanghai, 200031, China.
Tian HanKey Laboratory of Myopia, Ministry of Health, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 FenYang Road, Shanghai, 200031, China.
Jing ZhaoKey Laboratory of Myopia, Ministry of Health, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 FenYang Road, Shanghai, 200031, China.
Xingtao ZhouKey Laboratory of Myopia, Ministry of Health, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 FenYang Road, Shanghai, 200031, China. doctzhouxingtao@163.com.

Funding

National Natural Science Foundation of China for Young Scholars 81600762the National Natural Science Foundation of China grant 81570879
6 · The paper itself

Abstract

purposeTo investigate the safety and efficacy of a new protocol for transepithelial accelerated corneal collagen cross-linking with higher oxygen availability for keratoconus treatment.

methodsThere were 26 patients (26 eyes) diagnosed with keratoconus enrolled in the study and treated with transepithelial accelerated corneal collagen cross-linking. The corneas were irradiated using UVA light for 5 min and 20 s with 45 mW/cm

resultsThe operations were uneventful, and there were no complications during follow-up. At 1 year after the procedure, the uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) of the treated eyes were significantly improved compared to the pretreatment values (P = 0.012, 0.041, respectively). Additionally, 65.4% of eyes gained at least 1 line in CDVA, and 42.3% of eyes showed a reduction in at least 0.5D in astigmatism. The maximum keratometry (K

conclusionTransepithelial accelerated corneal collagen cross-linking with higher oxygen availability was safe for keratoconus treatment and partially prevented disease progression. Therefore, further studies with large patient cohorts and longer follow-up periods are recommended.

Indexed as

AdolescentAdultAnalysis of VarianceCollagenCross-Linking ReagentsFemaleHumansKeratoconusMaleOxygenPhotochemotherapyPhotosensitizing AgentsRiboflavinVisual AcuityYoung AdultCollagenCross-Linking ReagentsOxygenPhotosensitizing AgentsRiboflavinEfficacyKeratoconusPulsed illuminationSafetyTransepithelial accelerated corneal collagen cross-linking

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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.