Evidence map›Paper›PMID 35339475›Full record

ArticleExperimental eye research2022

Scleral crosslinking using genipin can compromise retinal structure and function in tree shrews.

Mustapha El Hamdaoui, Alexander M Levy, Aaron B Stuber, Christopher A Girkin, Timothy W Kraft, Brian C Samuels, Rafael Grytz

Open access · hybridAbstract read
In one paragraph

Article in Experimental eye research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. IMI-Interventions for Controlling Myopia Onset and Progression 2025.Investigative ophthalmology & visual science · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. IMI 2023 Digest.Investigative ophthalmology & visual science · 2023
    Article
  10. Article
  11. 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 1 institution in 1 country.

Mustapha El HamdaouiDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
Alexander M LevyDepartment of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL, USA.
Aaron B StuberDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
Christopher A GirkinDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
Timothy W KraftDepartment of Optometry and Vision Science, University of Alabama at Birmingham, Birmingham, AL, USA.
Brian C SamuelsDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
Rafael GrytzDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: rafaelgrytz@uabmc.edu.
University of Alabama at Birmingham · US

Funding

Visual Phenotyping CoreP30EY003039 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Paul Douglas Gamlin · 1985 to 2026
$16.9M
Scleral Remodeling in MyopiaR01EY026588 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Rafael Grytz · 2016 to 2026
$4.1M
The influence of ocular remodeling on glaucomaR01EY027759 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GRYTZ, RAFAEL, SAMUELS, BRIAN CHRISTOPHER · 2017 to 2021
$2.3M
NEI NIH HHS P30 EY003039NEI NIH HHS R01 EY026588NEI NIH HHS R01 EY027759
6 · The paper itself

Abstract

Scleral crosslinking using genipin has been identified as a promising treatment approach for myopia control. The efficacy of genipin to alter biomechanical properties of the sclera has been shown in several animal models of myopia but its safety profile remains unclear. In this safety study, we aim to investigate the effect of scleral crosslinking using retrobulbar injections of genipin on retinal structure and function at genipin doses that were shown to be effective in slowing myopia progression in juvenile tree shrews. To this end, three or five retrobulbar injections of genipin at 0 mM (sham), 10 mM, or 20 mM were performed in one eye every other day. Form deprivation myopia was induced in the injected eye. We evaluated retinal function using full-field electroretinography and retinal structure using in vivo optical coherence tomography imaging and ex vivo histology. The optical coherence tomography results revealed significant thinning of the peripapillary retinal nerve fiber layer in all genipin treated groups including the lowest dose group, which showed no significant treatment effect in slowing myopia progression. In contrast, inducing form deprivation myopia alone and in combination with sham injections caused no obvious thinning of the retinal nerve fiber layer. Electroretinography results showed a significant desensitizing shift of the b-wave semi-saturation constant in the sham group and the second highest genipin dose group, and a significant reduction in b-wave maxima in the two highest genipin dose groups. The ex vivo histology revealed noticeable degeneration of photoreceptors and retinal pigment epithelium in one of two investigated eyes of the highest genipin dose group. While scleral crosslinking using genipin may still be a feasible treatment option for myopia control, our results suggest that repeated retrobulbar injections of genipin at 10 mM or higher are not safe in tree shrews. An adequate and sustained delivery strategy of genipin at lower concentrations will be needed to achieve a safe and effective scleral crosslinking treatment for myopia control in tree shrews. Caution should be taken if the proposed treatment approach is translated to humans.

Indexed as

MyopiaScleraAnimalsIridoidsTupaiidaegenipinIridoidsElectroretinographyGenipinMyopiaOptical coherence tomographyScleral crosslinking

Identifiers

PMID35339475
PMCPMC9133212
OpenAlexW4220712217

What OpenQuestion holds

Textmetadata
LicenceTDM
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.