Evidence map›Paper›PMID 30311457›Full record

ArticleKorean journal of ophthalmology : KJO2018

Clinical Features of Herpes Simplex Keratitis in a Korean Tertiary Referral Center: Efficacy of Oral Antiviral and Ascorbic Acid on Recurrence.

Gyu Nam Kim, Woong Sun Yoo, Mi Hwa Park, Jin Kwon Chung, Yong Seop Han, In Young Chung, Seong Wook Seo, Ji Myong Yoo, Seong Jae Kim

Open access · goldAbstract read
In one paragraph

Article in Korean journal of ophthalmology : KJO, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Incidence and Risk Factors of Bilateral Herpetic Keratitis: 2022 Update.Tropical medicine and infectious disease · 2022
    Review
  10. Article
  11. The protective role of vitamin C in the management of COVID-19: A Review.The Journal of the Egyptian Public Health Association · 2021
    Review
  12. Article
  13. Systemic diseases and the cornea.Experimental eye research · 2021
    Review
  14. Review
  15. Review
  16. Article
  17. Review
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

9 authors at 2 institutions in 1 country.

Gyu Nam Kim *Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Woong Sun Yoo *Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Mi Hwa ParkDepartment of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Jin Kwon ChungDepartment of Ophthalmology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
Yong Seop HanDepartment of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
In Young ChungDepartment of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Seong Wook SeoDepartment of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Ji Myong YooDepartment of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Seong Jae KimDepartment of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Gyeongsang National University · KRSoonchunhyang University Hospital · KR

Funding

National Research Foundation of Korea NRF-2015R1C1A1A02037702
6 · The paper itself

Abstract

purposeTo describe the clinical manifestations of herpes simplex keratitis (HSK) in a tertiary referral center in South Korea and to determine whether ascorbic acid treatment prevents recurrence of herpetic epithelial keratitis.

methodsThis retrospective cohort study included all consecutive patients with herpetic keratitis referred to our center from January 2010 to January 2015. Clinical features, ocular complications, and recurrences were recorded.

resultsIn total, 149 eyes of the 133 patients (72 male and 61 female) were followed for an average of 24.6 ± 13.2 months. Sixteen (12.0%) patients had bilateral HSK. The most frequent HSK subtype was epithelial keratitis (49.7%), which was followed by stromal keratitis (23.5%). Epithelial keratitis was the most likely subtype to recur. Complications occurred in 122 (81.9%) eyes. The most common complication was corneal opacity. Recurrences were observed in 48 (32.2%) eyes. The recurrence rates were lower in the prophylactic oral antiviral agent group (16 / 48 eyes, 33.3% vs. 49 / 101 eyes, 48.5%) and the ascorbic acid treatment group (13 / 48 eyes, 27.1% vs. 81 / 101 eyes, 70.3%) compared with the groups without medications. Univariate logistic regression analysis revealed that both factors significantly reduced the risk of recurrence (acyclovir: odds ratio, 0.25; 95% confidence intervals, 0.12 to 0.51; ascorbic acid: odds ratio, 0.51; 95% confidence intervals, 0.20 to 0.91).

conclusionsThis retrospective study described the clinical findings of HSK in a tertiary referral center in South Korea. Prophylactic oral antiviral agent treatment and oral ascorbic acid administration may lower the risk of recurrence.

Indexed as

Tertiary Care CentersAcyclovirAdministration, OralAdultAgedAged, 80 and overAntioxidantsAntiviral AgentsAscorbic AcidDrug Therapy, CombinationEye Infections, ViralFemaleFollow-Up StudiesHumansIncidenceKeratitis, HerpeticAcyclovirAntioxidantsAntiviral AgentsAscorbic AcidAcyclovirAscorbic acidKeratitis, herpeticRecurrence

Identifiers

PMID30311457
PMCPMC6182212
OpenAlexW2883944948

What OpenQuestion holds

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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.