Evidence map›Paper›PMID 39832024›Full record

ArticleInternational ophthalmology2025

Identifying the greatest surgeon-perceived barriers and challenges in performing corneal transplantation in India.

Gavin Li, Priya M Mathews, Priyanka K Ramulu, David Cui, Rajesh Fogla, Michael X Lin, Esen K Akpek

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Gavin LiKeratoplasty Alliance International, Baltimore, Maryland, USA.
Priya M MathewsKeratoplasty Alliance International, Baltimore, Maryland, USA.
Priyanka K RamuluThe Ocular Surface Disease Clinic, The Wilmer Eye Institute, Johns Hopkins University School of Medicine, 1800 Orleans Street, Woods 372, Baltimore, Maryland, USA.
David CuiKeratoplasty Alliance International, Baltimore, Maryland, USA.
Rajesh FoglaApollo Hospitals, Hyderabad, Telangana, India.
Michael X LinThe Ocular Surface Disease Clinic, The Wilmer Eye Institute, Johns Hopkins University School of Medicine, 1800 Orleans Street, Woods 372, Baltimore, Maryland, USA.
Esen K AkpekKeratoplasty Alliance International, Baltimore, Maryland, USA. esakpek@jhmi.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is currently no systematic method of assessing limitations in performing corneal transplantation. The purpose of the study was to identify the limitations of performing corneal transplantation in India.

designCross-sectional survey study.

participantsA total of 148 members of the Cornea Society of India.

methodsA survey tool was developed to identify region-specific barriers to performing corneal transplantation. The survey was edited by a marketing firm and reviewed and approved by 4 of the participating corneal surgeons in India. The electronic survey was distributed nationwide to members of the Cornea Society of India between January 1, 2021 and July 1, 2021. Participants were asked to rate the difficulty or ease of 11 predetermined steps/variables of the corneal transplantation process using a Likert scale.

resultsOne hundred forty-eight practicing cornea surgeons participated in the survey (21% response rate). The most common barrier was difficulty with finding donors who fulfilled the screening criteria for transplantation (55%). The second most common barrier was patient/family willingness to donate organs (32%). The third most common barrier was the inability to store tissue after it was prepared by the eye bank (20%). The two variables least commonly identified as barriers were operating room staff availability and using the donor tissue before expiration.

conclusionThe greatest barrier to corneal transplantation in India was finding donors who fulfilled screening criteria. Additional studies into the contributing factors are underway to inform governing bodies on resource allocation to enhance procurement of quality donor tissues.

Indexed as

Attitude of Health PersonnelCorneal DiseasesCorneal TransplantationSurgeonsTissue DonorsAdultCross-Sectional StudiesEye BanksFemaleHumansIndiaMaleMiddle AgedSurveys and QuestionnairesCorneal blindnessCorneal transplantationGlobal health

Identifiers

PMID39832024

What OpenQuestion holds

Textmetadata
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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.