Evidence map›Paper›PMID 38711013›Full record

ArticleBMC ophthalmology2024

The outcomes of corneal sight rehabilitating surgery in Stevens-Johnson syndrome: case series.

Rongmei Peng, Miaomiao Chi, Gege Xiao, Hongqiang Qu, Zhan Shen, Yinghan Zhao, Jing Hong

Abstract read
In one paragraph

Article in BMC ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Rongmei Peng *Department of Ophthalmology, Peking University Third Hospital, Beijing, China.
Miaomiao Chi *Department of Ophthalmology, Peking University Third Hospital, Beijing, China.
Gege XiaoDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.
Hongqiang QuDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.
Zhan ShenDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.
Yinghan ZhaoDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.
Jing HongDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China. hongjing196401@163.com.

Funding

National Natural Science Foundation of China 82371027
6 · The paper itself

Abstract

purposeTo summarize the outcomes of corneal sight rehabilitating surgery in Stevens-Johnson syndrome (SJS).

methodsThis is a retrospective analysis of a consecutive case series. Twenty-four eyes of 18 SJS patients were included in this study. The ocular parameters, surgical procedures, postoperative complications, and additional treatments of the cases were reviewed.

resultsA total of 29 corneal sight rehabilitating surgeries, which consists of 9 keratoplasties, 8 Keratolimbal allograft (KLAL) and 12 combined surgeries (keratoplasty and KLAL simultaneously) were performed on the 24 eyes. All patients were treated with glucocorticoid eyedrops and tacrolimus eyedrops for anti-rejection treatment without combining systemic immunosuppression, except two patients who were prescribed prednisone tablets for the management of systemic conditions. The mean follow-up period was 50.6 ± 28.1 months. The optimal visual acuity (VA) (0.74 ± 0.60 logarithm of the minimum angle of resolution [logMAR]) and endpoint VA (1.06 ± 0.82 logMAR) were both significantly better than the preoperative VA (1.96 ± 0.43 logMAR) (95% CI, p = 0.000). 57.1% patients (8/14) were no longer in the low vision spectrum, and 88.9% patients (8/9) were no longer blind. The mean epithelialization time was 7.1 ± 7.6 weeks. The success rate was 86.7%. Additional treatments for improving epithelialization included administration of serum eyedrops (n = 10), contact lens (n = 15), amniotic membrane transplantation (n = 6), and tarsorrhaphy (n = 8). Complications included delayed epithelialization (n = 4, over 12 weeks), glaucoma (n = 11), and severe allograft opacity (n = 4). Only one graft rejection was observed.

conclusionsKeratoplasty and KLAL can remarkably enhance VA and improve low vision or even eliminate blindness for ocular complications of SJS. The outcome of the surgeries was correlated with the preoperative ocular situation and choice of operative methods.

Indexed as

Corneal DiseasesStevens-Johnson SyndromeVisual AcuityAdolescentAdultChildCorneal TransplantationFemaleFollow-Up StudiesHumansKeratoplasty, PenetratingLimbus CorneaeMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesKeratolimbal allograftKeratoplastyOcular SJSStevens-Johnson syndromeToxic epidermal necrolysis

Identifiers

PMID38711013
PMCPMC11071215

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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.