Evidence map›Paper›PMID 37996630›Full record

ArticleOphthalmology and therapy2024

Comparison of Two Topical Lubricants on the Corneal Surface Recovery and Patient Discomfort After Photorefractive Keratectomy.

Rafael Cañones-Zafra, Juan P Abad, Miriam Castellanos, Cristina Muñiz, Haris Sideroudi, Miguel A Teus

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2024. 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
0.9field-weighted citation impact, top 24% 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, 3 citations in OpenAlex.

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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 at 3 institutions in 2 countries.

Rafael Cañones-ZafraUniversidad de Alcalá, Alcalá de Henares, Madrid, Spain.
Juan P AbadClínica Novovisión, Madrid, Spain.
Miriam CastellanosClínica Novovisión, Madrid, Spain.
Cristina MuñizClínica Novovisión, Madrid, Spain.
Haris SideroudiDemocritus University of Thrace, Moshonission 29, 68100, Alexandroupolis, Greece. hsideroudi@gmail.com.ORCID http://orcid.org/0000-0001-8415-1233
Miguel A TeusUniversidad de Alcalá, Alcalá de Henares, Madrid, Spain.
Clínica Rementería · ESUniversidad de Alcalá · ESDemocritus University of Thrace · GR

Funding

Trial Grant of Alcon IIT#60341187
6 · The paper itself

Abstract

introductionThis study aimed to compare the effect of two preservative-free (PF) artificial tears, one containing carboxymethylcellulose (CMC) (control group) vs another containing hyaluronic acid and hydroxypropyl guar (HA + HP-guar) (study group), on the healing of the corneal epithelium and the ocular discomfort after bilateral photorefractive keratectomy (PRK) surgery.

methodsA total of 68 patients that were scheduled to have PRK to correct myopia were randomized into two groups: 34 patients (68 eyes) in the study group and 34 patients (68 eyes) in the control group. Ocular examinations were performed on postoperative days 1, 4, 7, 30, and 90, evaluating the diameter of the de-epithelized cornea, the fluorescein staining using the Oxford scale, the tear film osmolarity and stability (tear breakup time), and the pain using visual analog scale (VAS).

resultsOn postoperative day 4, 97% of the study eyes vs 84.4% of the control eyes were completely re-epithelized (p = 0.01). Less ocular pain was observed on postoperative day 3 in the study group (5.0 (3.0-6.0) vs 6.0 (3.5-7.0), p = 0.03). No differences were observed beyond postoperative day 7 in the healing of the corneal epithelium, non-invasive Keratograph breakup time (NIKBUT), and the self-perceived ocular discomfort between the two groups.

conclusionThe current study shows faster healing of the corneal epithelium and less ocular pain and discomfort in the first days after PRK with the use of topical lubricants containing HA + HP-guar compared to conventional CMC artificial tears, probably due to the different trophic effect of the aforementioned tears on the corneal epithelial cells.

trial registrationEudraCT No. 2020-003488-25.

Indexed as

Artificial tearsCarboxymethylcelluloseDry eyesHyaluronic acid and hydroxypropyl guarRefractive surgery

Identifiers

PMID37996630
PMCPMC10776532
OpenAlexW4388960729

What OpenQuestion holds

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Registered trials

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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.