Evidence map›Paper›PMID 30601930›Full record

ArticleInvestigative ophthalmology & visual science2019

Noninvasive Assessment of Corneal Crosslinking With Phase-Decorrelation Optical Coherence Tomography.

Brecken J Blackburn, Shi Gu, Matthew R Ford, Vinícius de Stefano, Michael W Jenkins, William J Dupps, Andrew M Rollins

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 37 citations in OpenAlex.

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  11. Bioengineering (Basel, Switzerland) · 2023
    Review
  12. Review
  13. Biomechanics of Ophthalmic Crosslinking.Translational vision science & technology · 2021
    Review
  14. Article
  15. Corneal Crosslinking in Refractive Corrections.Translational vision science & technology · 2021
    Article
  16. Review
  17. Article
  18. Article
  19. Article
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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 at 3 institutions in 1 country.

Brecken J BlackburnDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, United States.
Shi GuDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, United States.
Matthew R FordCole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States.
Vinícius de StefanoCole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States.
Michael W JenkinsDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, United States.
William J DuppsDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, United States.
Andrew M RollinsDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, United States.
Case Western Reserve University · USCleveland Clinic · USCleveland Eye Clinic · US

Funding

RESOURCE/SERVICE CORE C - MOLECULAR INFORMATICS MODULEP30EY025585 · NEI · CLEVELAND CLINIC LERNER COM-CWRU · PI Brian D Perkins · 2016 to 2026
$7.7M
Optical Tools to Assess the Role of Hemodynamics in the Development of Congenital Heart DefectsR01HL126747 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI JENKINS, MICHAEL W. · 2015 to 2025
$6.4M
Interdisciplinary Biomedical Imaging Training ProgramT32EB007509 · NIBIB · CASE WESTERN RESERVE UNIVERSITY · PI DAVID Lynn WILSON, Xin Yu · 2007 to 2026
$5.6M
VISUAL SCIENCES TRAINING PROGRAMT32EY007157 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI Johannes Friedrich von Lintig · 2000 to 2026
$5.5M
OCT Imaging Technology for Developmental Cardiology ResearchR01HL083048 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI ROLLINS, ANDREW MARTIN · 2006 to 2016
$3.2M
Corneal Elastography and Patient-Specific Modeling for Simulation-based TherapyR01EY023381 · NEI · CLEVELAND CLINIC LERNER COM-CWRU · PI DUPPS, WILLIAM JOSEPH · 2013 to 2017
$2.0M
Noninvasive assessment of the cornea by diffusion OCTR01EY028667 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI DUPPS, WILLIAM JOSEPH, ROLLINS, ANDREW MARTIN · 2018 to 2022
$2.0M
Cole Eye Institute Vision Science Training ProgramT32EY024236 · NEI · CLEVELAND CLINIC LERNER COM-CWRU · PI ANAND-APTE, BELA · 2015 to 2025
$1.0M
BIOMEDICAL ENGINEERING RESEARCH FACILITIESC06RR012463 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI KUTINA, KENNETH L · 1997 to 1997
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NCRR NIH HHS C06 RR012463NEI NIH HHS P30 EY025585NEI NIH HHS R01 EY023381NEI NIH HHS R01 EY028667NEI NIH HHS T32 EY007157NEI NIH HHS T32 EY024236NHLBI NIH HHS R01 HL083048NHLBI NIH HHS R01 HL126747NIBIB NIH HHS T32 EB007509
6 · The paper itself

Abstract

Purpose: There is strong evidence that abnormalities in corneal biomechanical play a causal role in corneal ectasias, such as keratoconus. Additionally, corneal crosslinking (CXL) treatment, which halts progression of keratoconus, directly appeals to corneal biomechanics. However, existing methods of corneal biomechanical assessment have various drawbacks: dependence on IOP, long acquisition times, or limited resolution. Here, we present a method that may avoid these limitations by using optical coherence tomography (OCT) to detect the endogenous random motion within the cornea, which can be associated with stromal crosslinking. Methods: Phase-decorrelation OCT (PhD-OCT), based in the theory of dynamic light scattering, is a method to spatially resolve endogenous random motion by calculating the decorrelation rate, Γ, of the temporally evolving complex-valued OCT signal. PhD-OCT images of ex vivo porcine globes were recorded during CXL and control protocols. In addition, human patients were imaged with PhD-OCT using a clinical OCT system. Results: In both the porcine cornea and the human cornea, crosslinking results in a reduction of Γ (P < 0.0001), indicating more crosslinks. This effect was repeatable in ex vivo porcine corneas (change in average Γ = -41.55 ± 9.64%, n = 5) and not seen after sham treatments (change in average Γ = 2.83 ± 12.56%, n = 5). No dependence of PhD-OCT on IOP was found, and correctable effects were caused by variations in signal-to-noise ratio, hydration, and motion. Conclusions: PhD-OCT may be a useful and readily translatable tool for investigating biomechanical properties of the cornea and for enhancing the diagnosis and treatment of patients.

Indexed as

Cross-Linking ReagentsAnimalsBiomechanical PhenomenaCollagenCorneal StromaElasticity Imaging TechniquesHumansKeratoconusPhantoms, ImagingPhotochemotherapyPhotosensitizing AgentsRiboflavinSwineTomography, Optical CoherenceUltraviolet RaysCollagenCross-Linking ReagentsPhotosensitizing AgentsRiboflavin

Identifiers

PMID30601930
PMCPMC6322634
OpenAlexW2906989979

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.