Evidence map›Paper›PMID 39899349›Full record

Observational studyOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2025

The role of the epithelium in intraocular lens and corneal power calculation.

Jascha A Wendelstein, David A Atchison, Damien Gatinel, David L Cooke, Achim Langenbucher

Abstract readObservational Study
In one paragraph

Observational study in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. The role of the epithelium in intraocular lens and corneal power calculation.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Observational
  2. Article
  3. Observational
  4. Observational
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

5 authors.

Jascha A WendelsteinUniversity Eye Hospital, Ludwig-Maximilians-University, Munich, Germany.ORCID 0000-0003-4145-2559
David A AtchisonCentre for Vision and Eye Research, Queensland University of Technology, Kelvin Grove, Queensland, Australia.ORCID 0000-0002-3099-6545
Damien GatinelRothschild Foundation Hospital, Anterior Segment and Refractive Surgery Department, Paris, France.
David L CookeGreat Lakes Eye Care, Saint Joseph, Michigan, USA.
Achim LangenbucherInstitute of Experimental Ophthalmology, Saarland University, Homburg, Germany.ORCID 0000-0001-9175-6177

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the influence of the corneal epithelium on corneal power, particularly in special cases such as post-refractive surgery and keratoconus.

methodsA retrospective observational study. Measurement data were obtained from a high-resolution anterior segment analyser (CSO MS-39). Corneal curvature and power data, as well as surface height data, were organised in a cylindrical coordinate system. Calculations considered one, two and three refractive surfaces, examining the role of epithelial thickness and stromal curvature.

resultsThe effect of the epithelium on corneal power was minimal (<0.1 D) in normal corneas, but it was considerable in keratoconus and post-refractive surgery cases, with differences up to 0.9 D. The effect decreased for larger measurement zones.

conclusionIncorporating epithelial thickness and stromal curvature into corneal power calculations is a crucial next step in accurate corneal power and intraocular lens calculation in eyes with previous refractive surgery or keratoconus. This study highlights the need for advanced diagnostic and calculation methods in complex cases.

Indexed as

CorneaEpithelium, CornealKeratoconusLenses, IntraocularRefraction, OcularAdultCorneal TopographyFemaleHumansMaleMiddle AgedRetrospective StudiesYoung Adultbiometrycorneal powerepithelial curvatureepithelial powerkeratometrystromal curvaturestromal power

Identifiers

PMID39899349
PMCPMC11823397

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.