Evidence map›Paper›PMID 37868794›Full record

ArticleOphthalmology science

Prospective Observational Study Evaluating Systemic Hormones and Corneal Crosslinking Effects in Keratoconus.

Lyly Van, Sashia Bennett, Sarah E Nicholas, Jesper Hjortdal, Tina B McKay, Dimitrios Karamichos

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Sex Hormones and Keratoconus: In Search of the Link.Journal of clinical medicine · 2026
    Article
  3. Article
  4. The Impact of Sex Hormones on Keratoconus.Journal of clinical medicine · 2025
    Review
  5. Article
  6. Observational
  7. Keratoconus.Nature reviews. Disease primers · 2024
    Article
  8. Article
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 2 countries.

Lyly VanDepartment of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Sashia BennettDepartment of Ophthalmology, Aarhus University Hospital, 8200 Aarhus N, Denmark.
Sarah E NicholasNorth Texas Eye Research Institute, University of North Texas Health Science Center, Fort Worth, Texas.
Jesper HjortdalDepartment of Ophthalmology, Aarhus University Hospital, 8200 Aarhus N, Denmark.
Tina B McKayDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Dimitrios KaramichosNorth Texas Eye Research Institute, University of North Texas Health Science Center, Fort Worth, Texas.
Aarhus University Hospital · DKUniversity of North Texas · USDean McGee Eye Institute · USHarvard University · US

Funding

Sex Hormones and KeratoconusR01EY028888 · NEI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI KARAMICHOS, DIMITRIOS · 2018 to 2020
$1.1M
NEI NIH HHS R01 EY028888
6 · The paper itself

Abstract

Purpose: To evaluate associations between hormone levels and corneal parameters in patients with keratoconus (KC), before and after photooxidative corneal collagen crosslinking (CXL). Design: Prospective, observational cohort study. Participants: Twenty-eight patients with KC who were scheduled for CXL at Aarhus University Hospital in Denmark. Methods: Androgen (dehydroepiandrosterone sulfate [DHEA-S]) and estrogen (estrone and estriol) plasma levels were measured and clinical assessments were performed before CXL and 2 to 3 months post-CXL, comparing the CXL eye with the control eye from the same participant. Main Outcome Measures: Associations between hormone levels and maximum corneal curvature (K Results: Corneal collagen crosslinking was associated with a 2% reduction in K Conclusions: This study provides supporting evidence based on a KC clinical population that systemic estrogen levels may influence corneal parameters (curvature and thickness) pre-CXL. Further studies evaluating the interplay between the therapeutic benefits of CXL and systemic hormone distributions are needed to determine if perturbation of the local corneal microenvironment influences endocrine function. Financial Disclosures: The authors have no proprietary or commercial interest in any materials discussed in this article.

Indexed as

CorneaCorneal crosslinkingEstrogenHormonesKeratoconus

Identifiers

PMID37868794
PMCPMC10585634
OpenAlexW4383955364

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.