Evidence map›Paper›PMID 33504829›Full record

ArticleScientific reports2021

Epithelial and stromal remodelling following femtosecond laser-assisted stromal lenticule addition keratoplasty (SLAK) for keratoconus.

Mario Nubile, Niccolò Salgari, Jodhbir S Mehta, Roberta Calienno, Emanuele Erroi, Jessica Bondì, Manuela Lanzini, Yu-Chi Liu, Leonardo Mastropasqua

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Ex Vivo Assessment of Excimer Laser-Assisted Lenticule Customization.Translational vision science & technology · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Ex Vivo Lenticule Customization for Stromal Lenticule Addition Keratoplasty.Investigative ophthalmology & visual science · 2024
    Article
  13. Article
  14. Review
  15. Review
  16. Article
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  18. 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

9 authors at 2 institutions in 2 countries.

Mario NubileDepartment of Medicine and Sciences of Ageing, Ophthalmic Clinic, University "G. D'Annunzio" of Chieti-Pescara, Via dei Vestini, 66100, Chieti, Italy.
Niccolò SalgariDepartment of Medicine and Sciences of Ageing, Ophthalmic Clinic, University "G. D'Annunzio" of Chieti-Pescara, Via dei Vestini, 66100, Chieti, Italy. nic.salgari@gmail.com.
Jodhbir S MehtaSingapore National Eye Centre, Singapore, Singapore.
Roberta CaliennoDepartment of Medicine and Sciences of Ageing, Ophthalmic Clinic, University "G. D'Annunzio" of Chieti-Pescara, Via dei Vestini, 66100, Chieti, Italy.
Emanuele ErroiDepartment of Medicine and Sciences of Ageing, Ophthalmic Clinic, University "G. D'Annunzio" of Chieti-Pescara, Via dei Vestini, 66100, Chieti, Italy.
Jessica BondìDepartment of Medicine and Sciences of Ageing, Ophthalmic Clinic, University "G. D'Annunzio" of Chieti-Pescara, Via dei Vestini, 66100, Chieti, Italy.
Manuela LanziniDepartment of Medicine and Sciences of Ageing, Ophthalmic Clinic, University "G. D'Annunzio" of Chieti-Pescara, Via dei Vestini, 66100, Chieti, Italy.
Yu-Chi LiuSingapore National Eye Centre, Singapore, Singapore.
Leonardo MastropasquaDepartment of Medicine and Sciences of Ageing, Ophthalmic Clinic, University "G. D'Annunzio" of Chieti-Pescara, Via dei Vestini, 66100, Chieti, Italy.
University of Chieti-Pescara · ITSingapore National Eye Center · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to evaluate corneal epithelium and stromal remodelling with anterior segment optical coherence tomography in patients who have undergone stromal lenticule addition keratoplasty (SLAK) for advanced keratoconus. This was a prospective non-comparative observational study. Fifteen eyes of 15 patients with advanced keratoconus underwent implantation with a cadaveric, donor negative meniscus-shaped intrastromal lenticule, produced with a femtosecond laser, into a stromal pocket dissected in the recipient cornea at a depth of 120 μm. Simulated keratometry, central corneal thickness (CTT), corneal thinnest point (CTP), central epithelial thickness (CET), central and peripheral lenticule thickness, anterior and posterior stromal thickness were measured. Regional central corneal epithelial thickness (CET) and variations in the inner annular area (IAT) and outer annular area (OAT) were also analysed. All parameters were measured preoperatively and 1, 3, and 6 months postoperatively. The average anterior Sim-k decreased from 59.63 ± 7.58 preoperatively to 57.19 ± 6.33 D 6 months postoperatively. CCT, CTP, CET, and OAT increased and IAT decreased significantly after 1 month. All parameters appeared unchanged at 6-months except that of OAT that further increased. Lenticule thickness was stable. In conclusion we observed that SLAK reshapes the cornea by central flattening with stromal thickening and epithelial thickness restoration.

Indexed as

CorneaCorneal StromaCorneal TransplantationHumansKeratoconusProspective StudiesTomography, Optical CoherenceVisual Acuity

Identifiers

PMID33504829
PMCPMC7840927
OpenAlexW3121979182

What OpenQuestion holds

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Registered trials

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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.