Evidence map›Paper›PMID 36441226›Full record

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

Biomechanical properties analysis of forme fruste keratoconus and subclinical keratoconus.

Yan Huo, Xuan Chen, Huazheng Cao, Jing Li, Jie Hou, Yan Wang

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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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Article
  2. Analysis of astigmatism type influence onFrontiers in bioengineering and biotechnology · 2026
    Article
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Advances in Corneal Diagnostics Using Machine Learning.Bioengineering (Basel, Switzerland) · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Biomechanical properties measured with dynamic Scheimpflug analyzer in central serous chorioretinopathy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  13. Review
  14. Article
  15. Corneal biomechanics in early diagnosis of keratoconus using artificial intelligence.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    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

6 authors.

Yan HuoSchool of Medicine, Nankai University, Tianjin, China.
Xuan ChenClinical College of Ophthalmology, Tianjin Medical University, Tianjin, China.
Huazheng CaoSchool of Medicine, Nankai University, Tianjin, China.
Jing LiShanxi Eye Hospital, Xi'an People's Hospital, Xi'an, Shanxi, China.
Jie HouJinan Mingshui Eye Hospital, Ji'nan, Shandong, China.
Yan WangSchool of Medicine, Nankai University, Tianjin, China. wangyan7143@vip.sina.com.ORCID http://orcid.org/0000-0002-1257-6635

Funding

National Natural Science Foundation of China Nos. 81873684
6 · The paper itself

Abstract

purposeTo analyze the biomechanical properties of the eye in patients with unilateral keratoconus with normal (forme fruste keratoconus [FFKC]) or abnormal topography (subclinical keratoconus [SKC]).

methodsThis study included 153 eyes of 153 participants, including 95 eyes of patients with unilateral keratoconus, and 58 eyes of 58 healthy controls. Contralateral eyes with unilateral keratoconus were divided into two groups according to clinical manifestations and global consensus: FFKC (n = 30) and SKC (n = 65). The biomechanical characteristics were analyzed using non-parametric tests; further analysis thereof was performed after adjusting for confounding factors (i.e., intraocular pressure, age, and corneal thickness). Receiver operating characteristic curve (ROC) was used to analyze the ability of the biomechanical parameters to distinguish FFKC from SKC.

resultsStatistically significant differences between the FFKC and SKC groups were found in 9 of the 18 corneal biomechanical parameters analyzed using non-parametric tests. After adjusting for confounding factors, the multivariate analysis still revealed significant statistical differences in A1-time (P = 0.017), integrated radius (IR) (P = 0.024), and tomographic and biomechanical index (TBI, P < 0.001) between the FFKC and SKC groups. Stiffness parameter at first applanation (SP-A1) (Area under ROC [AUROC] = 0.765) demonstrated the strongest distinguishing ability, except for TBI (AUROC = 0.858) and Corvis Biomechanical Index (AUROC = 0.849), however, there was no statistically significant difference in SP-A1 (P = 0.366) between FFKC and SKC.

conclusionsBiomechanical parameters A1-time and IR have a high diversity between FFKC and SKC, besides TBI, and may reflect more subtle changes in corneal biomechanical properties (BPs) preceding SP-A1. The BPs of SKC are weaker than FFKC, which might be a basic and clue for the classification and diagnosis of the severity of early keratoconus in terms of biomechanics.

Indexed as

KeratoconusBiomechanical PhenomenaCorneaCorneal PachymetryCorneal TopographyHumansRetrospective StudiesROC CurveCorneal biomechanicsEarly keratoconusForme fruste keratoconusSubclinical keratoconusUnilateral keratoconus

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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.