Evidence map›Paper›PMID 30527441›Full record

ArticleJournal of cataract and refractive surgery2019

New ex vivo model of corneal endothelial phacoemulsification injury and rescue therapy with mesenchymal stromal cell secretome.

Majid Rouhbakhshzaeri, Behnam Rabiee, Nathalie Azar, Elham Ghahari, Ilham Putra, Medi Eslani, Ali R Djalilian

Abstract read
In one paragraph

Article in Journal of cataract and refractive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 17% 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, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Histology and histopathology · 2025
    Review
  5. Article
  6. Microorganisms · 2025
    Review
  7. Review
  8. Review
  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

7 authors at 1 institution in 1 country.

Majid RouhbakhshzaeriDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Illinois, USA.
Behnam RabieeDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Illinois, USA.
Nathalie AzarDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Illinois, USA.
Elham GhahariDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Illinois, USA.
Ilham PutraDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Illinois, USA.
Medi EslaniDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Illinois, USA.
Ali R DjalilianDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Illinois, USA. Electronic address: adjalili@uic.edu.
University of Illinois Chicago · US

Funding

Translational Core for Therapeutic and Diagnostic DevelopmentP30EY001792 · NEI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MCANANY, JAMES JASON · 1985 to 2025
$14.8M
UIC K12 Independent Clinical Vision Scientist Development ProgramK12EY021475 · NEI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI ALI R DJALILIAN, CHARLOTTE E JOSLIN · 2011 to 2026
$6.7M
Novel Therapies for Ocular Chemical InjuriesR01EY024349 · NEI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI DJALILIAN, ALI R · 2015 to 2020
$2.1M
NEI NIH HHS K12 EY021475NEI NIH HHS P30 EY001792NEI NIH HHS R01 EY024349
6 · The paper itself

Abstract

purposeTo develop a reproducible ex vivo model of corneal endothelial cell injury using phacoemulsification in porcine eyes and to evaluate the effects of mesenchymal stromal cell secretome in this injury model.

settingDepartment of Ophthalmology, University of Illinois at Chicago, Illinois, USA.

designExperimental study.

methodsA corneal endothelial injury model was optimized using different powers and durations of ultrasound energy inside ex vivo porcine eyes. Conditioned media from corneal mesenchymal stem cells was collected under serum-free conditions from passages 4 to 6. Immediately after the phacoemulsification injury, the anterior chamber fluid was replaced with unconditioned media or conditioned media and incubated at 37°C for 4 hours. At the end, endothelial cell viability was evaluated using trypan blue staining and analyzed with ImageJ software.

resultsUsing specific parameters (50% power for 30 seconds), phacoemulsification inside fresh porcine eyes led to a consistent level of endothelial cell injury. Incubation with corneal mesenchymal stromal cell-conditioned media after the injury significantly reduced endothelial cells loss compared with unconditioned media (mean 1.29% ± 0.91% [SD] and 5.33% ± 3.24%, respectively, P < .05).

conclusionsPhacoemulsification inside fresh porcine eyes provided a reproducible model to study endothelial cell injury. Treatment with corneal mesenchymal stromal cell secretome after injury appeared to significantly enhance the survival of corneal endothelial cells. This might provide a new strategy for preventing corneal endothelial cell loss after phacoemulsification or other endothelial injuries. Further in vivo studies are necessary to determine the therapeutic potential.

Indexed as

Endothelium, CornealAnimalsCorneal Endothelial Cell LossCulture MediaDisease Models, AnimalMesenchymal Stem CellsMetabolomePhacoemulsificationSwineCulture Media

Identifiers

PMID30527441
PMCPMC6409103
OpenAlexW2905480797

What OpenQuestion holds

Textmetadata
LicenceTDM
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.