Evidence map›Paper›PMID 39924602›Full record

ArticleInternational ophthalmology2025

Comparative analysis of the therapeutic efficacy of low-temperature plasma ablation in treating fungal keratitis caused by various strains.

Tao Sun, Bo-Wen Zhang, Guo-Fu Wu, Lin Liu, Hong-Yan Song, Pei-Wei Liu, Rui Xiong, Xian Liu

Abstract readComparative 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. 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

8 authors.

Tao SunThe Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, No.463 of Bayi Road, Nanchang, 330000, China.
Bo-Wen ZhangThe Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, No.463 of Bayi Road, Nanchang, 330000, China.
Guo-Fu WuThe Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, No.463 of Bayi Road, Nanchang, 330000, China.
Lin LiuThe Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, No.463 of Bayi Road, Nanchang, 330000, China.
Hong-Yan SongThe Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, No.463 of Bayi Road, Nanchang, 330000, China.
Pei-Wei LiuThe Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, No.463 of Bayi Road, Nanchang, 330000, China.
Rui XiongThe Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, No.463 of Bayi Road, Nanchang, 330000, China.
Xian LiuThe Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, No.463 of Bayi Road, Nanchang, 330000, China. liuxianlx01@126.com.

Funding

Jiangxi Health Commission Department 202130553Jiangxi Science and Technology Department 20203BBGL73191
6 · The paper itself

Abstract

objectiveThe objective of this study is to assess the therapeutic efficacy of low-temperature plasma ablation (LTP) combined with drug treatment in the treatment of fungal keratitis (FK) caused by various pathogens, thereby establishing a clinical foundation for the use of LTP in treating FK.

methodsA retrospective study was performed, including 76 patients (76 eyes) with FK diagnosed at the Affiliated Eye Hospital of Nanchang University. The patients were categorized into the Fusarium group, Alternaria group, Aspergillus group, and other genus groups based on positive results from biological cultures. Key clinical parameters, including best-corrected visual acuity (BCVA), maximum ulcer lesion diameter, and healing grades, were assessed and compared at baseline (pre-treatment), on postoperative day 3, and at postoperative week 3.

resultsThe study demonstrated that the BCVA (LogMAR) of all patients revealed no significant differences at postoperative day 3 (F = 2.54, p = 0.063) and week 3 (F = 1.86, p = 0.143). Although BCVA improved to varying degrees compared to preoperative levels, the changes were not statistically significant (p > 0.05). After treatment with LTP combined with pharmacotherapy across all four groups, an average of 53 patients (69.74%) achieved grade I healing, with the group effect being nonsignificant (F = 2.85, p = 0.071), while the effect of time post-treatment was significant (F = 67.85, p < 0.001). Additionally, the corneal scar diameter at postoperative week 3 was significantly smaller compared to the preoperative lesion diameter (p < 0.05). Multiple comparisons revealed significant differences in scar diameter among patients with grade I healing at postoperative week 3 (F = 3.48, p = 0.023), with notable differences observed between the Alternaria and Fusarium groups (p = 0.017). The average rate of grade III healing, defined by the occurrence of corneal perforation and/or the need for therapeutic penetrating keratoplasty, was 7.89%.

conclusionLow-temperature plasma ablation demonstrates effective therapeutic outcomes for FK caused by various pathogens that are unresponsive to pharmacological treatments, with no significant complications.

Indexed as

CorneaCorneal UlcerEye Infections, FungalKeratitisPlasma GasesAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeVisual AcuityPlasma GasesAlternariaAnterior segment OCTFungal keratitisFungal strainsLow-temperature plasma ablation

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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.