Evidence map›Paper›PMID 39791962›Full record

ArticleCornea2026

Efficacy and Safety of Secondary Surgical Treatment for Refractory Recurrent Corneal Erosion.

Hyunmin Ahn, Young Jun Kim, Kyoung Yul Seo, Jae Lim Chung

Abstract readComparative Study
In one paragraph

Article in Cornea, 2026. 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

4 authors.

Hyunmin AhnEyejun Ophthalmic Clinic, Seoul, Republic of Korea ; and.ORCID 0000-0003-1529-5123
Young Jun KimEyejun Ophthalmic Clinic, Seoul, Republic of Korea ; and.
Kyoung Yul SeoDepartment of Ophthalmology, Yonsei University College of Medicine, Seoul, Republic of Korea .
Jae Lim ChungEyejun Ophthalmic Clinic, Seoul, Republic of Korea ; and.ORCID 0000-0002-9501-9593

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the efficacy and safety of secondary surgical intervention of combined phototherapeutic keratectomy (PTK) with alcohol delamination and peripheral anterior stromal puncture (ASP) for refractory recurrent corneal erosion (RCE).

methodsThis retrospective comparative study defined refractory RCE as cases persisting for more than 6 months after primary surgical intervention. A total of 115 eyes from 115 patients with refractory RCE, treated either with (n = 92) or without (n = 23) the secondary surgical treatment combining PTK and ASP between January 2021 and January 2023, were included. The Kaplan-Meier survival analysis method was used to determine the intervention's efficacy.

resultsThe mean age was 34.4 ± 10.8 years, with a predominance of male patients (60%). Over a follow-up period exceeding 1 year, the recurrence rate was markedly lower at 27.2% in the group undergoing secondary surgical treatment compared with 69.6% in those receiving conservative treatment. Kaplan-Meier survival analysis revealed significantly reduced recurrence rates in the surgical group versus the conservative treatment group (log-rank test, P = 0.007). Notably, 96% of recurrences in the surgical cohort occurred within the first 6 months postintervention, with no recurrences observed after 9 months. At the final follow-up, 12% necessitated further surgical procedures 6 months after the secondary intervention. The study reported no significant surgical complications.

conclusionsThe secondary surgical approach combining PTK with alcohol delamination and ASP presents a viable and safe treatment alternative for patients with refractory RCE, demonstrating a significant reduction in recurrence rates.

Indexed as

Corneal Dystrophies, HereditaryCorneal StromaPhotorefractive KeratectomyAdolescentAdultEpithelium, CornealFemaleFollow-Up StudiesHumansMaleMiddle AgedPuncturesRecurrenceReoperationRetrospective StudiesTreatment Outcomealcohol delaminationanterior stromal puncturephototherapeutic keratectomyrecurrent corneal erosion

Identifiers

PMID39791962
PMCPMC12673898

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Registered trials

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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.