Evidence map›Paper›PMID 38389251›Full record

ReviewIndian journal of ophthalmology2024

Current concepts in the management of cataract with keratoconus.

Maneck Nicholson, Vivek M Singh, Somasheila Murthy, Damien Gatinel, Savio Pereira, Aditya Pradhan, Shail Vasavada, Prajakta Dandekar, Mekhla Naik, Supriya Sharma

Open access · diamondAbstract readReview
In one paragraph

Review in Indian journal of ophthalmology, 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
2.4field-weighted citation impact, top 12% 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, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. 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

10 authors at 4 institutions in 2 countries.

Maneck NicholsonDepartment of Cataract and Refractive Surgery, Shantilal Shanghvi Eye Institute, Mumbai, India.
Vivek M SinghDepartment of Cataract and Refractive Surgery, LV Prasad Eye Institute, Kallam Anji Reddy Campus, Telangana, India.
Somasheila MurthyDepartment of Cataract and Refractive Surgery, Shantilal Shanghvi Eye Institute, Mumbai, India.
Damien GatinelDepartment of Cataract and Refractive Surgery, Rothschild Foundation, Paris, France.
Savio PereiraDepartment of Cataract and Refractive Surgery, Nethradhama Super Speciality Eye Hospital, Bangalore, India.
Aditya PradhanCornea Services, Disha Eye Hospital, Kolkata, India.
Shail VasavadaDepartment of Cataract and Refractive Surgery, Raghudeep Eye Clinic, Ahmedabad, India.
Prajakta DandekarDepartment of Cataract and Refractive Surgery, Shantilal Shanghvi Eye Institute, Mumbai, India.
Mekhla NaikDepartment of Cataract and Refractive Surgery, Shantilal Shanghvi Eye Institute, Mumbai, India.
Supriya SharmaDepartment of Cataract and Refractive Surgery, Shantilal Shanghvi Eye Institute, Mumbai, India.
L V Prasad Eye Institute · INFondation de Rothschild · FRNethradhama Superspeciality Eye Hospital · INRaghudeep Eye Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review analyzed all pertinent articles on keratoconus (KCN) and cataract surgery. It covers preoperative planning, intraoperative considerations, and postoperative management, with the aim of providing a simplified overview of treating such patients. Preoperatively, the use of corneal cross-linking, intrastromal corneal ring segments, and topo-guided corneal treatments can help stabilize the cornea and improve the accuracy of biometric measurements. It is important to consider the advantages and disadvantages of traditional techniques such as penetrating keratoplasty and deep anterior lamellar keratoplasty, as well as newer stromal augmentation techniques, to choose the most appropriate surgical approach. Obtaining reliable measurements can be difficult, especially in the advanced stages of the disease. The choice between toric and monofocal intraocular lenses (IOLs) should be carefully evaluated. Monofocal IOLs are a better choice in patients with advanced disease, and toric lenses can be used in mild and stable KCN. Intraoperatively, the use of a rigid gas permeable (RGP) lens can overcome the challenge of image distortion and loss of visual perspective. Postoperatively, patients may need updated RGP or scleral lenses to correct the corneal irregular astigmatism. A thorough preoperative planning is crucial for good surgical outcomes, and patients need to be informed regarding potential postoperative surprises. In conclusion, managing cataracts in KCN patients presents a range of challenges, and a comprehensive approach is essential to achieve favorable surgical outcomes.

Indexed as

AstigmatismCataractKeratoconusLenses, IntraocularHumansLens Implantation, IntraocularRefraction, OcularVisual Acuity

Identifiers

PMID38389251
PMCPMC11149527
OpenAlexW4392107416

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.