Evidence map›Paper›PMID 36197498›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2023

Corneal cross-linking in patients with keratoconus: up to 13 years of follow-up.

Christian Enders, Diana Vogel, Jens Dreyhaupt, Waltraud Wolf, Aylin Garip-Kuebler, Jonathan Hall, Lukas Neuhann, Jens Ulrich Werner

Abstract read
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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2023. 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
1.6field-weighted citation impact, top 18% 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, 11 citations in OpenAlex.

  1. Machine learning-based progress prediction in accelerated cross-linking for Keratoconus.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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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

8 authors at 2 institutions in 1 country.

Christian EndersMVZ Prof. Neuhann GmbH, Helene-Weber-Allee 19, 80637, Munich, Germany. christian.enders@alumni.uni-ulm.de.ORCID http://orcid.org/0000-0003-3922-3765
Diana VogelMVZ Prof. Neuhann GmbH, Helene-Weber-Allee 19, 80637, Munich, Germany.
Jens DreyhauptInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.
Waltraud WolfMVZ Prof. Neuhann GmbH, Helene-Weber-Allee 19, 80637, Munich, Germany.
Aylin Garip-KueblerMVZ Prof. Neuhann GmbH, Helene-Weber-Allee 19, 80637, Munich, Germany.
Jonathan HallMVZ Prof. Neuhann GmbH, Helene-Weber-Allee 19, 80637, Munich, Germany.
Lukas NeuhannMVZ Prof. Neuhann GmbH, Helene-Weber-Allee 19, 80637, Munich, Germany.
Jens Ulrich WernerDepartment of Ophthalmology, Ulm University, Ulm, Germany.
Universität Ulm · DEHelmholtz Zentrum München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo evaluate long-term safety and efficacy of corneal collagen cross-linking (CXL) in patients with keratoconus up to 13 years. MATERIALS AND

methodsIn this mono-centre exploratory study, we included all consecutive patients who underwent CXL in our cornea centre from 01/01/2007 to 12/30/2011 and met the inclusion criteria. CXL was performed in all patients according to the Dresden protocol. Evaluation included best-corrected visual acuity (BCVA), topographic keratometry by Scheimpflug corneal tomography and endothelial cell count (ECC). Follow-up measurements were taken up to 13 years after treatment were compared with baseline values.

resultsThe study enrolled 168 eyes. The mean age of our patients was 26.3 years ± 7.8 years. A complete topographic dataset was available 1 year postoperatively for 142 eyes, 5 years postoperatively for 105 eyes, 10 years postoperatively for 61 eyes and 13 years postoperatively for 9 eyes. BCVA increased statistically significant after 1 year, 5 years and 10 years and non-significantly after 13 years. All keratometric parameters with exception of posterior astigmatism showed a statistically significant decrease after 1 year, 5 years and 10 years. After 13 years, the decrease was statistically significant only in Kmax, K2 and thinnest cornea. No significant changes in ECC were detected. Three eyes received Re-CXL, none of the eyes received penetrating keratoplasty and no infections occurred in this cohort.

conclusionsCXL can slow down or even stop the progression of keratoconus in the majority of cases. The effect is long-lasting with excellent safety.

Indexed as

KeratoconusPhotochemotherapyAdultCollagenCorneal Cross-LinkingCorneal TopographyCross-Linking ReagentsFollow-Up StudiesHumansPhotosensitizing AgentsRiboflavinTreatment OutcomeUltraviolet RaysVisual AcuityCollagenCross-Linking ReagentsPhotosensitizing AgentsRiboflavinCorneal cross-linkingKeratectasiaKeratoconusKeratoplasty

Identifiers

PMID36197498
OpenAlexW4301401443

What OpenQuestion holds

Textmetadata
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.