Evidence map›Paper›PMID 35086233›Full record

ArticleIndian journal of ophthalmology2022

Post-corneal transplant

Alok Sati, Sangeeta Wagh, Sanjay K Mishra, Sonali V Kumar, Pradeep Kumar

Open access · diamondAbstract read
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Article in Indian journal of ophthalmology, 2022. 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
1.6field-weighted citation impact, top 19% 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, 8 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

5 authors at 1 institution in 1 country.

Alok SatiCornea and Anterior Segment Services, Department of Ophthalmology, Army Hospital (Research and Referral), New Delhi, India.
Sangeeta WaghCornea and Anterior Segment Services, Dr. Sangeeta Wagh Eye Clinic, Pune, Maharashtra, India.
Sanjay K MishraDepartment of Ophthalmology, Army Hospital (Research and Referral), New Delhi, India.
Sonali V KumarDepartment of Ophthalmology, Army Hospital (Research and Referral), New Delhi, India.
Pradeep KumarDepartment of Ophthalmology, Army Hospital (Research and Referral), New Delhi, India.
Army Hospital Research and Referral · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the risk factors, clinical characteristics, and outcomes of Candida keratitis following corneal transplantation in India.

methodsOn retrospective review of medical records of 789 patients, 31 eyes developed a graft infection following corneal transplantation or keratoprosthesis and we could identify the Candida infection in only five. These cases were operated at two tertiary care centers in India. These five records were reviewed for demographics, risk factors (local and systemic) for graft infection, characteristics of infective lesion, corneal scraping results, treatment plan, and the final outcome following management.

resultsThe median age of the subjects with the Candida graft infection was 62.4 ± 10.33 years (range, 62-71 years). All patients were males. The predominant risk factors included repeat corneal transplantation (5/5), prolonged usage of topical steroids (5/5), and epithelial defects (4/5). The clinical characteristics included infiltrates of variable configuration like powdery deposits, white plaque, fluffy white infiltrate, and crystalline keratopathy. The smear showed budding yeasts in all five cases whereas culture was positive in four out of five cases. The final outcome with antifungals (systemic [4/5] and topical [5/5]) is variable. Two eyes underwent evisceration, two eyes had scar formation in the failed grafts, and one patient succumbed to the systemic disease 1-month post-corneal infection.

conclusionCandida keratitis, in India, seems to be an emerging pathology following corneal transplantation and has a varied presentation. Though the outcomes following management seem to be grim, however, such infection can easily be avoided by a timely reduction of the risk factors.

Indexed as

Corneal DiseasesCorneal TransplantationKeratitisAgedCandidaCorneaHumansIncidenceMaleMiddle AgedProstheses and ImplantsRetrospective StudiesRisk FactorsCandida graft infectioncorneal transplantationIndia

Identifiers

PMID35086233
PMCPMC9023991
OpenAlexW4210724425

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.