Evidence map›Paper›PMID 35333286›Full record

ArticleTranslational vision science & technology2022

Femtosecond Laser Trabeculotomy in Perfused Human Cadaver Anterior Segments: A Novel, Noninvasive Approach to Glaucoma Treatment.

Eric R Mikula, Ferenc Raksi, Iqbal Ike Ahmed, Manu Sharma, Guy Holland, Reza Khazaeinezhad, Samantha Bradford, James V Jester, Tibor Juhasz

Open access · goldAbstract read
In one paragraph

Article in Translational vision science & technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 7 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 3 institutions in 2 countries.

Eric R MikulaDepartment of Ophthalmology, University of California, Irvine, Irvine, CA, USA.
Ferenc RaksiViaLase Inc., Aliso Viejo, CA, USA.
Iqbal Ike AhmedUniversity of Toronto, Toronto, ON, Canada.
Manu SharmaViaLase Inc., Aliso Viejo, CA, USA.
Guy HollandViaLase Inc., Aliso Viejo, CA, USA.
Reza KhazaeinezhadViaLase Inc., Aliso Viejo, CA, USA.
Samantha BradfordDepartment of Ophthalmology, University of California, Irvine, Irvine, CA, USA.
James V JesterDepartment of Ophthalmology, University of California, Irvine, Irvine, CA, USA.
Tibor JuhaszDepartment of Ophthalmology, University of California, Irvine, Irvine, CA, USA.
Microsemi (United States) · USUniversity of California, Irvine · USUniversity of Utah · US

Funding

Non-Invasive Femtosecond Laser Glaucoma Surgery Guided by Micron-Resolution OCTR01EY030304 · NEI · UNIVERSITY OF CALIFORNIA-IRVINE · PI JUHASZ, TIBOR · 2019 to 2022
$1.9M
NEI NIH HHS R01 EY030304
6 · The paper itself

Abstract

Purpose: The purpose of this study was to investigate femtosecond laser trabeculotomy (FLT) in a clinically relevant manner (i.e., delivering the surgical laser beam through the cornea of the intact, human anterior segment to create channels from the anterior chamber into the Schlemm's canal) and to investigate the effect of this treatment on intraocular pressure in perfused human anterior segments. Methods: Perfused human anterior segments (15 eyes) received either FLT treatment (n = 8) or a sham-treatment (n = 7). Intraocular pressure (IOP) in the perfused samples was recorded before and after treatment. Spectral domain optical coherence tomography, second harmonic generation imaging, and transmission electron microscopy were used to investigate the FLT channels. Results: The FLT group (n = 7, 1 eye excluded) had a statistically significant reduction in mean IOP of 20.2% from baseline after treatment (5.06 ± 1.46 mm Hg to 4.04 ± 1.63 mm Hg; P < 0.0005), whereas the control group (n = 7) remained statistically unchanged (7.72 ± 3.45 mm Hg to 7.78 ± 3.51 mm Hg; P < 0.71). Imaging confirmed that the channels traversed the entire trabecular meshwork into the Schlemm's canal. Conclusions: This study has provided the first direct evidence supporting the feasibility of clinically applicable, noninvasive femtosecond laser trabeculotomy for the treatment of glaucoma. Various imaging modalities revealed minimal collateral damage to adjacent issues. Translational Relevance: This work demonstrates noninvasive femtosecond laser trabeculotomy in a laboratory setting that is clinically relevant.

Indexed as

GlaucomaTrabeculectomyCadaverHumansLasersTrabecular Meshwork

Identifiers

PMID35333286
PMCPMC8963660
OpenAlexW4220804462

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.