Evidence map›Paper›PMID 33804353›Full record

ReviewJournal of clinical medicine2021

Challenges in Acanthamoeba Keratitis: A Review.

Giuseppe Varacalli, Antonio Di Zazzo, Tommaso Mori, Thomas H Dohlman, Sara Spelta, Marco Coassin, Stefano Bonini

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
10.6field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Silver(I)-NHC Complexes as Dual-Action Agents Against PathogenicInternational journal of molecular sciences · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. International journal of ophthalmology · 2025
    Article
  14. Acanthamoeba keratitis: from pathophysiology to prevention, a contemporary clinical perspective.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
  15. Article
  16. Review
  17. Anti-Acanthamoeba metallopharmaceuticals: Amoebicidal activity and synergistic effect of copper(II) coordination compound.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2024
    Article
  18. Article
  19. Review
  20. 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

7 authors at 2 institutions in 2 countries.

Giuseppe VaracalliOphthalmology Operative Complex Unit, Campus Bio-Medico University Hospital, 00128 Rome, Italy.
Antonio Di ZazzoOphthalmology Operative Complex Unit, Campus Bio-Medico University Hospital, 00128 Rome, Italy.ORCID 0000-0002-5264-5973
Tommaso MoriOphthalmology Operative Complex Unit, Campus Bio-Medico University Hospital, 00128 Rome, Italy.
Thomas H DohlmanMassachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.
Sara SpeltaOphthalmology Operative Complex Unit, Campus Bio-Medico University Hospital, 00128 Rome, Italy.ORCID 0000-0002-9442-5741
Marco CoassinOphthalmology Operative Complex Unit, Campus Bio-Medico University Hospital, 00128 Rome, Italy.ORCID 0000-0003-3404-0425
Stefano BoniniOphthalmology Operative Complex Unit, Campus Bio-Medico University Hospital, 00128 Rome, Italy.
Università Campus Bio-Medico · ITMassachusetts Eye and Ear Infirmary · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To review challenges in the diagnosis and management of Acanthamoeba keratitis (AK), along with prognostic factors, in order to help ophthalmologists avoid misdiagnosis, protracted treatment periods, and long-term negative sequelae, with an overarching goal of improving patient outcomes and quality of life, we examined AK studies published between January 1998 and December 2019. All manuscripts describing clinical manifestations, diagnosis, treatment, prognosis, and challenges in short- and long-term management were included. The diagnosis of AK is often challenging. An increased time between symptom onset and the initiation of appropriate therapy is associated with poorer visual outcomes. The timely initiation of standardized antiamoebic therapies improves visual outcomes, decreases the duration of treatment, and reduces the chances of needing surgical intervention. In clinical practice, AK diagnosis is often missed or delayed, leading to poorer final visual outcomes and a negative impact on patient morbidity and quality of life.

Indexed as

Acanthamoeba keratitisin vivo confocal microscopymisdiagnosisprognosistherapy

Identifiers

PMID33804353
PMCPMC7957573
OpenAlexW3134659855

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.