Evidence map›Paper›PMID 37041151›Full record

ArticleScientific reports2023

Ex vivo demonstration of canine corneal pre-Descemet's anatomy using pneumodissection as for the big bubble technique for deep anterior lamellar keratoplasty.

Christiane Kafarnik, Lana A Faraj, Darren S J Ting, Jia Ni Goh, Dalia G Said, Harminder S Dua

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. 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 at 4 institutions in 1 country.

Christiane KafarnikOphthalmology Unit, Animal Health Trust, Kentford, UK.
Lana A FarajAcademic Ophthalmology, Eye ENT Centre, School of Medicine, University of Nottingham, B Floor, Nottingham, NG7 2UH, UK.
Darren S J TingAcademic Ophthalmology, Eye ENT Centre, School of Medicine, University of Nottingham, B Floor, Nottingham, NG7 2UH, UK.
Jia Ni GohSchool of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK.
Dalia G SaidAcademic Ophthalmology, Eye ENT Centre, School of Medicine, University of Nottingham, B Floor, Nottingham, NG7 2UH, UK.
Harminder S DuaAcademic Ophthalmology, Eye ENT Centre, School of Medicine, University of Nottingham, B Floor, Nottingham, NG7 2UH, UK. harminder.dua@nottingham.ac.uk.
University of Nottingham · GBAnimal Health Trust · GBNottingham University Hospitals NHS Trust · GBQueen's Medical Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The recent discovery and characterization of pre-Descemet's layer (PDL; also termed the Dua's layer or the Dua-Fine layer) has advanced the understanding of various posterior corneal pathologies and surgeries in human. This study aimed to characterize the ultrastructure of the posterior stroma and interfacial zone of Descemet's membrane (DM) in canine eyes. Eighteen canine corneo-scleral discs were included. Intrastromal air injection resulted in the formation of type 1 big bubble (BB) in 73% (n = 11/15) of corneas, with a mean diameter of 11.0 ± 1.3 mm. No type 2 BB was created. Anterior segment optical coherence tomography, histology and transmission electron microscopy confirmed that the wall of BB was composed of DM, in contact with remaining stroma (canine PDL; cPDL). The cPDL was populated with keratocytes, of varying thickness of 16.2 ± 4.2 µm in close apposition to the DM, and composed of collagen bundles arranged in transverse, longitudinal and oblique directions. The interfacial zone, between DM and cPDL, showed fibril extension in all three directions, predominantly longitudinal. Irregular extensions of DM material into cPDL stroma were observed. No long-spaced collagen was detected. In conclusion, there exists a well-defined cleavage plane between the posterior stroma and cPDL, with similar but not identical characteristics as in humans, that is revealed by pneumodissection. This adds to our understanding of the anatomy of the posterior most canine cornea, which will have significant clinical impact on posterior corneal surgery and understanding of corneal pathology in dogs.

Indexed as

Corneal TransplantationDescemet MembraneAnimalsCollagenCorneaDogsHumansTissue DonorsCollagen

Identifiers

PMID37041151
PMCPMC10090133
OpenAlexW4364381773

What OpenQuestion holds

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LicenceCC BY
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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.