Evidence map›Paper›PMID 29453698›Full record

ArticleMycopathologia2018

Corneal Collagen Cross-Linking for the Management of Mycotic Keratitis.

Elif Erdem, Ibrahim Inan Harbiyeli, Hazal Boral, Macit Ilkit, Meltem Yagmur, Reha Ersoz

Abstract read
PubMed Publisher
In one paragraph

Article in Mycopathologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Fungal Keratitis: Diagnosis, Management, and Recent Advances.Clinical ophthalmology (Auckland, N.Z.) · 2024
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Update on the management of fungal keratitis.International ophthalmology · 2021
    Review
  10. Commentary: PACK-CXL in fungal keratitis.Indian journal of ophthalmology · 2019
    Article
  11. [The German keratomycosis registry : Initial results of a multicenter survey].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2019
    Article
  12. Article
  13. Taiwan journal of ophthalmology
    Article
  14. 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 1 institution in 1 country.

Elif ErdemDepartment of Ophthalmology, School of Medicine, Cukurova University, 01330, Adana, Turkey.
Ibrahim Inan HarbiyeliDepartment of Ophthalmology, School of Medicine, Cukurova University, 01330, Adana, Turkey. inanharbiyeli@hotmail.com.ORCID http://orcid.org/0000-0003-2586-1096
Hazal BoralDivision of Mycology, Department of Microbiology, School of Medicine, Cukurova University, Adana, Turkey.
Macit IlkitDivision of Mycology, Department of Microbiology, School of Medicine, Cukurova University, Adana, Turkey.
Meltem YagmurDepartment of Ophthalmology, School of Medicine, Cukurova University, 01330, Adana, Turkey.
Reha ErsozDepartment of Ophthalmology, School of Medicine, Cukurova University, 01330, Adana, Turkey.
Cukurova University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficiency of corneal collagen cross-linking (CXL) in addition to topical voriconazole in cases with mycotic keratitis.

designRetrospective case series in a tertiary university hospital.

participantsCXL was performed on 13 patients with mycotic keratitis who presented poor or no response to topical voriconazole treatment.

methodsThe clinical features, symptoms, treatment results and complications were recorded retrospectively. The corneal infection was graded according to the depth of infection into the stroma (from grade 1 to grade 3). The visual analogue scale was used to calculate the pain score before and 2 days after surgery.

main outcome measuresGrade of the corneal infection.

resultsMean age of 13 patients (6 female and 7 male) was 42.4 ± 17.7 years (20-74 years). Fungus was demonstrated in culture (eight patients) or cytological examination (five patients). Seven of the 13 patients (54%) were healed with topical voriconazole and CXL adjuvant treatment in 26 ± 10 days (15-40 days). The remaining six patients did not respond to CXL treatment; they initially presented with higher grade ulcers. Pre- and post-operative pain score values were 8 ± 0.8 and 3.5 ± 1, respectively (p < 0.05).

conclusionsThe current study suggests that adjunctive CXL treatment is effective in patients with small and superficial mycotic ulcers. These observations require further research by large randomized clinical trials.

Indexed as

Ultraviolet RaysAdolescentAdultAgedAntifungal AgentsCollagenEye Infections, FungalFemaleHospitals, UniversityHumansKeratitisMaleMiddle AgedRetrospective StudiesTertiary Care CentersTreatment OutcomeAntifungal AgentsCollagenCorneal collagen cross-linkingCorneal infectionMycotic keratitisTopical voriconazole

Identifiers

PMID29453698
OpenAlexW2792797980

What OpenQuestion holds

Textmetadata
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.