Evidence map›Paper›PMID 38827772›Full record

Trial reportClinical ophthalmology (Auckland, N.Z.)2024

Effect of Artificial Tears on Preoperative Keratometry and Refractive Precision in Cataract Surgery.

Christian Nilsen, Morten Gundersen, Per Graae Jensen, Kjell Gunnar Gundersen, Richard Potvin, Øygunn A Utheim, Bjørn Gjerdrum

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Clinical ophthalmology (Auckland, N.Z.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. 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

7 authors.

Christian NilsenIfocus Eye Clinic, Haugesund, Norway.ORCID 0000-0002-4482-1375
Morten GundersenIfocus Eye Clinic, Haugesund, Norway.ORCID 0009-0000-2867-3336
Per Graae JensenIfocus Eye Clinic, Haugesund, Norway.ORCID 0000-0002-0050-1708
Kjell Gunnar GundersenIfocus Eye Clinic, Haugesund, Norway.ORCID 0000-0002-1003-0225
Richard PotvinScience in Vision, Frisco, TX, USA.ORCID 0000-0003-0964-5035
Øygunn A UtheimDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-0097-4070
Bjørn GjerdrumIfocus Eye Clinic, Haugesund, Norway.ORCID 0000-0002-6886-5196

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The primary objective was to investigate if treatment with artificial tears affected the variability of keratometry measurements for subjects with dry eyes prior to cataract surgery. The secondary objectives were to investigate whether treatment with artificial tears improved refractive precision and whether subjects with non-dry eyes had better refractive precision than subjects with dry eyes. Design: Prospective randomized controlled trial with three arms. Patients and methods: Dry eye diagnostics according to DEWS II were performed, and subjects with dry eyes were randomized to no treatment (group A1) or treatment with artificial tears two weeks prior to cataract surgery (group A2), with the third group (Group B, non-dry eyes) as a control. Keratometry was performed twice at baseline and twice after two weeks at the time of cataract surgery with three different optical biometers. The change in mean variability of keratometry (average K and magnitude of vector differences) and percentages of outliers after two weeks versus baseline were compared for group A2. The refractive and astigmatism prediction errors were calculated eight weeks after cataract surgery and compared for all three groups. Results: One hundred thirty-one subjects were available for analysis. There was no statistically significant difference in the mean variability of keratometry or percentages of outliers for group A2 from baseline to the time of cataract surgery. There was no statistically significant difference in refractive precision (absolute error and astigmatism prediction error) between any groups. Conclusion: Subjects with dry eyes (treated and non-treated) achieved the same refractive precision and percentages of outliers as subjects with non-dry eyes. Treatment with artificial tears for two weeks appeared inadequate to significantly affect variability in biometric measurements for patients with dry eyes prior to cataract surgery. DEWS II criteria for DED may not be optimal in a cataract setting.

Indexed as

artificial tearsCataract surgerynon-invasive keratography tear break-up timeocular surface stainingosmolarity

Identifiers

PMID38827772
PMCPMC11143984

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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.