Evidence map›Paper›PMID 36788364›Full record

ReviewEye (London, England)2023

Clear corneal incision, an important step in modern cataract surgery: a review.

Andreas F Borkenstein, Richard Packard, Sorcha Ni Dhubhghaill, David Lockington, Eric D Donnenfeld, Eva-Maria Borkenstein

Abstract readReview
In one paragraph

Review in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Article
  6. Review
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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

6 authors.

Andreas F BorkensteinBorkenstein and Borkenstein, Private Practice at Privatklinik Kreuzschwestern, Graz, Austria. crustalith@gmx.at.ORCID 0000-0001-6341-9069
Richard PackardLynton Cottage, Westley Mill, Nr. Binfield Bracknell, UK.
Sorcha Ni DhubhghaillDepartment of Ophthalmology, Antwerp University Hospital, Edegem, Belgium.
David LockingtonTennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, UK.ORCID 0000-0001-7984-0958
Eric D DonnenfeldOphthalmic Consultants of Long Island, Long Island, NY, USA.
Eva-Maria BorkensteinBorkenstein and Borkenstein, Private Practice at Privatklinik Kreuzschwestern, Graz, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A clear corneal incision (CCI) is the most commonly used entrance site in modern phacoemulsification cataract surgery. Despite some initial concerns about increased endophthalmitis rates through a self-sealing CCI, recent literature suggests that the risk of infection with proper wound construction and all other necessary precautions is minimal. The technique of creating a clear corneal incision has, with recent developments in corneal imaging, undergone critical appraisal leading to a better understanding of incision architecture. Many surgeons operate through smaller incisions, and they have a wide choice of surgical instruments to create their corneal incisions. The aim of this review is to discuss the history and the current status of clear corneal incision creation, the design and materials of surgical blades, and the current trends in manufacturing and sustainability. Although disposable instruments have some advantages and are very popular, recycling, if possible, and avoiding unnecessary plastic waste are important considerations. In any case, the step of CCI is a small one for the surgeon, but a big one for the eye. That is why it has to be done with the utmost precision and in-depth knowledge is important.

Indexed as

CataractCataract ExtractionPhacoemulsificationSurgical WoundCorneaHumansWound Healing

Identifiers

PMID36788364
PMCPMC10516977

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.