Evidence map›Paper›PMID 38772878›Full record

ArticleBMJ open ophthalmology2024

Outcomes after reversed corneal graft rejection: a report from the European VISICORT project.

Katja C Iselin, Jesper Hjortdal, W John Armitage, Derek Tole, Uwe Pleyer, Bertrand Vabres, Matthew D Griffin, Conor C Murphy

Abstract readMulticenter Study
In one paragraph

Article in BMJ open ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Katja C IselinRoyal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland katja.iselin@luks.ch.ORCID 0000-0001-8896-037X
Jesper HjortdalDepartment of Ophthalmology, Aarhus University Hospital, Aarhus, Denmark.
W John ArmitageDepartment of Ophthalmology, Bristol University, Bristol, UK.ORCID 0000-0003-0154-8070
Derek ToleDepartment of Ophthalmology, Bristol University, Bristol, UK.
Uwe PleyerDepartment of Ophthalmology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Bertrand VabresDepartment of Ophthalmology, Centre hospitalier universitaire de Nantes, Nantes, France.
Matthew D GriffinRegenerative Medicine Institute (REMEDI), CÚRAM SFI Centre for Research in Medical Devices, School of Medicine, National University of Ireland Galway, Galway, Ireland.
Conor C MurphyRoyal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland.ORCID 0000-0003-2171-0418

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to describe the outcome of corneal grafts, both low risk and high risk, after successfully reversed immunological rejection.

methodsDatasets on reversed rejection episodes in penetrating and endothelial keratoplasties between 2014 and 2019 (n=876) were extracted from the Adverse Immune Signatures and their Prevention in Corneal Transplantation database, which contains the prospectively and consecutively collected corneal transplants from five European centres. Stratified by the preoperatively determined risk status for immunological rejection, the outcome parameters analysed included visual acuity, intraocular pressure, endothelial cell density and central corneal thickness before and after reversed rejection episodes.

resultsFourty-seven (52%) out of a total of 91 identified rejection episodes were successfully reversed and were available for analysis (23 penetrating and 24 endothelial keratoplasties). No statistically significant change was found for any of the parameters studied between the values before and the values 3 months after the rejection episode, irrespective of the preoperative risk status.

conclusionThe outcome of corneal grafts that survive immunological rejection may be clinically indistinguishable from the state before immunological rejection, irrespective of graft type and risk status. These findings support clinicians by providing information on prognosis after reversed rejection episodes and by giving patients realistic expectations regarding the outcome.

Indexed as

Graft RejectionVisual AcuityAdultAgedCorneal DiseasesDescemet Stripping Endothelial KeratoplastyEndothelium, CornealEuropeFemaleGraft SurvivalHumansImmunosuppressive AgentsIntraocular PressureKeratoplasty, PenetratingMaleMiddle AgedImmunosuppressive AgentsCorneaEye (Tissue) Banking

Identifiers

PMID38772878
PMCPMC11110599

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