Evidence map›Paper›PMID 29296550›Full record

ArticleTaiwan journal of ophthalmology

Comparison of transepithelial corneal crosslinking with epithelium-off crosslinking (epithelium-off CXL) in adult Pakistani population with progressive keratoconus.

Bushra Akbar, Rana Intisar-Ul-Haq, Mazhar Ishaq, Ayesha Fawad, Sabahat Arzoo, Kashif Siddique

Open access · diamondAbstract read
In one paragraph

Article in Taiwan journal of ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Transepithelial corneal cross-linking: a review.International ophthalmology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. 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.

Bushra AkbarDepartment of Ophthalmology, Armed Forces Institute of Ophthalmology, Rawalpindi, Pakistan.
Rana Intisar-Ul-HaqDepartment of Ophthalmology, Armed Forces Institute of Ophthalmology, Rawalpindi, Pakistan.
Mazhar IshaqDepartment of Ophthalmology, Armed Forces Institute of Ophthalmology, Rawalpindi, Pakistan.
Ayesha FawadDepartment of Ophthalmology, Armed Forces Institute of Ophthalmology, Rawalpindi, Pakistan.
Sabahat ArzooDepartment of Ophthalmology, Armed Forces Institute of Ophthalmology, Rawalpindi, Pakistan.
Kashif SiddiqueBiostatistics, King Salman Armed Forces Hospital, Tabuk, KSA Academic Affairs (Research Unit), Saudi Arabia.
Armed Forces Institute of Pathology · PKArmed Forces Hospital · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to compare the safety and efficacy of transepithelial corneal crosslinking (CXL) with epithelium-off crosslinking (epithelium-off CXL) in the treatment of progressive keratoconus in adult Pakistani population. MATERIALS AND

methodsSixty-four eyes of 64 consecutive patients of progressive keratoconus were included in this quasi-experimental study. Thirty-two eyes received transepithelial CXL with Peschke TE (0.25% riboflavin (Vitamin B2), 1.2% hydroxypropyl methylcellulose (HPMC), 0.01% benzalkonium chloride) and 32 eyes received epithelium-off CXL with Peschke M (0.1% riboflavin (Vitamin B2) 0.1%, HPMC 1.1%.) The cornea was then exposed to ultraviolet A light at an irradiance of 3 mW/cm

resultsBoth epithelium-off CXL and transepithelial CXL groups showed a significant reduction in K

conclusionTransepithelial CXL is not recommended to be replaced completely by standard epithelium-off CXL due to continued ectatic progression in 25% of cases. However, thin corneas, unfit for standard epithelium-off CXL, can benefit from transepithelial CXL.

Indexed as

Adult Pakistani populationepithelium-off corneal crosslinkingprogressive keratoconustransepithelial corneal crosslinking

Identifiers

PMID29296550
PMCPMC5747228
OpenAlexW2740725480

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.