Evidence map›Paper›PMID 39702781›Full record

ArticleInternational ophthalmology2024

Evaluating the safety and effectiveness of the sub-400 corneal cross-linking protocol: initial clinical and morphological findings.

Emine Esra Karaca, Yonca Asfuroğlu, Döndü Melek Ulusoy, Özlem Evren Kemer

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

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1citing papers in PubMed
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1 · What the graph read from it

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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

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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.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Emine Esra KaracaDepartment of Ophthalmology, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey. dremineesra@gmail.com.ORCID http://orcid.org/0000-0001-7124-4174
Yonca AsfuroğluDepartment of Ophthalmology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4120-1605
Döndü Melek UlusoyDepartment of Ophthalmology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-7847-9048
Özlem Evren KemerDepartment of Ophthalmology, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey.ORCID http://orcid.org/0000-0001-9480-8470

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the safety and the efficacy of the "Sub-400 corneal cross-linking (CXL) protocol" for progressive keratoconus (KC) in ultrathin corneas.

methodsThe study included thirty four patients with progressive KC, who underwent CXL using the "Sub-400" protocol due to intraoperative thinnest corneal pachymetry ranging from 295 to 398 μm after epithelial removal. After the epithelium was removed, the following ultraviolet A irradiation was applied at a fluence of 3 mW/cm

resultsAt the first year postoperative follow-up visit, 88% (30 eyes) exhibited tomographic stability, with average values of change in Kmax (ΔKmax) 0.61 ± 6.45 D after CXL. None of the eyes showed signs of endothelial decompensation. The mean DL depth was 250.76 ± 44.05 μm. Moderate positive correlations were observed between DL and ultraviolet A irradiation time, DL, and intraoperative stromal thickness (r = 0.473, p = 0.005 and r = 0.517, p = 0.002, respectively). ΔKmax was negatively correlated with preoperative Kmax (r =  - 0.559, P = 0.001) and positively correlated with preoperative TCT (r = 0.373, P = 0.030).

conclusionThe "Sub-400 protocol" for CXL has a broad application possibility for ultrathin corneas with KC and has shown promising results.

Indexed as

CollagenCorneal StromaCorneal TopographyCross-Linking ReagentsKeratoconusPhotochemotherapyPhotosensitizing AgentsRiboflavinUltraviolet RaysVisual AcuityAdolescentAdultCorneal Cross-LinkingCorneal PachymetryEndothelium, CornealFemaleCollagenCross-Linking ReagentsPhotosensitizing AgentsRiboflavinCorneal collagen crosslinkingKeratoconusThe Sub-400 protocolUltrathin corneas

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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.