Evidence map›Paper›PMID 34395914›Full record

ArticleBMJ open ophthalmology2021

Proof-of-concept study of electrospun PLGA membrane in the treatment of limbal stem cell deficiency.

Charanya Ramachandran, Pallavi Deshpande, Ilida Ortega, Farshid Sefat, Rob McKean, Mala Srivastava, Sheila MacNeil, Sayan Basu, Virender Singh Sangwan

Open access · goldAbstract read
In one paragraph

Article in BMJ open ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

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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 5 institutions in 2 countries.

Charanya RamachandranCentre for Ocular Regeneration, Brien Holden Eye Research Centre, LV Prasad Eye Institute, Hyderabad, India.ORCID 0000-0002-8961-7618
Pallavi DeshpandeInsitute of Population Healthy, University of Liverpool, Liverpool, UK.
Ilida OrtegaSchool of Clinical Dentistry, The University of Sheffield, Sheffield, UK.
Farshid SefatBiomedical and Electronics Engineering Department, University of Bradford, Bradford, UK.
Rob McKeanThe Electrospinning Company Ltd, Didcot, UK.
Mala SrivastavaNextvel Consulting LLP, Bengaluru, India.
Sheila MacNeilDepartment of Materials Science and Engineering, The University of Sheffield, Sheffield, UK.
Sayan BasuCentre for Ocular Regeneration, Brien Holden Eye Research Centre, LV Prasad Eye Institute, Hyderabad, India.ORCID 0000-0001-5030-5003
Virender Singh SangwanCornea and Innovation, Dr Shroff's Charity Eye Hospital Delhi, New Delhi, India.ORCID 0000-0002-8229-4158
L V Prasad Eye Institute · INUniversity of Sheffield · GBDr. Shroff’s Charity Eye Hospital · INUniversity of Bradford · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the safety of poly-lactic co-glycolic acid (PLGA) electrospun membranes as carriers for limbal tissue explants for treatment of limbal stem cell deficiency (LSCD). METHODS AND ANALYSIS: Approval was obtained for a first in-man study from the Drug Controller General of India. PLGA membranes were applied to the affected eye of five patients after removal of the vascular pannus. Simple limbal epithelial transplantation was performed and limbal explants were secured on the membrane using fibrin glue followed by a bandage contact lens. Patients were followed up for 1 year with ocular exams including slit lamp exam, corneal thickness measurements, intraocular pressure measurements and recording of corneal vascularisation and visual acuity. Systemic examinations included pain grading, clinical laboratory assessment, blood chemistry and urine analysis at baseline, 3 and 6 months after surgery.

resultsPLGA membranes completely degraded by 8 weeks post-transplantation without any infection or inflammation. In all five patients, the epithelium regenerated by 3 months. In two in five patients, there was a sustained two-line improvement in vision. In one in five patients, the vision improvement was limited due to an underlying stromal scarring. There was recurrence of pannus and LSCD in two in five patients 6 months after surgery which was not attributable to the membrane. The ocular surface remained clear with no epithelial defects in three in five subjects at 12 months.

conclusionPLGA electrospun membranes show promise as carrier for limbal epithelial cells in the treatment of LSCD.

Indexed as

clinical trialcorneaocular surfacestem cells

Identifiers

PMID34395914
PMCPMC8314696
OpenAlexW3183687804

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.