Evidence map›Paper›PMID 39929390›Full record

ArticleOphthalmology2025

Factors Associated with Vision Outcomes in Microbial Keratitis: A Multisite Prospective Cohort Study.

Maria A Woodward, Emily L Vogt, Leslie M Niziol, Shahzad I Mian, Alan Sugar, Angela Verkade, Nambi Nallasamy, Mercy Pawar, Linda Kang, Keith D Miller and 3 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04420962 (Quantifying Microbial Keratitis to Predict Outcomes), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT04420962 completednot on this map

Quantifying Microbial Keratitis to Predict Outcomes

TypeobservationalSponsorUniversity of MichiganRan2020 to 2024Enrolled124ConditionsKeratitisArmsVisual Acuity
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

13 authors.

Maria A WoodwardDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan. Electronic address: mariawoo@med.umich.edu.
Emily L VogtDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Leslie M NiziolDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Shahzad I MianDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Alan SugarDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Angela VerkadeDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Nambi NallasamyDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Mercy PawarDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Linda KangDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Keith D MillerDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Suzanne WinterDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Sina FarsiuDepartment of Biomedical Engineering, Duke University, Durham, North Carolina.
N Venkatesh PrajnaDepartment of Cornea and Refractive Services, Aravind Eye Care System, Madurai, Tamil Nadu, India.

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
VIVARIUM MODULEP30EY007003 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Antonetti · 1987 to 2026
$17.6M
Automated Quantitative Ulcer Analysis (AQUA): Diagnosing Organism TypesR01EY036418 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sina Farsiu, Maria Anneke Woodward · 2024 to 2026
$2.1M
Quantifying Microbial Keratitis to Predict Outcomes: An Imaging and Epidemiologic ApproachR01EY031033 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOODWARD, MARIA ANNEKE · 2020 to 2023
$1.8M
NCATS NIH HHS UL1 TR002240NEI NIH HHS P30 EY007003NEI NIH HHS R01 EY031033NEI NIH HHS R01 EY036418
6 · The paper itself

Abstract

purposeTo investigate factors associated with 90-day vision in patients with microbial keratitis (MK).

designMulticenter prospective cohort study recruited patients with MK from the United States and India from July 23, 2020, through May 1, 2024, and followed them for 90 days.

participantsIndividuals ≥ 15 years of age with MK of > 2 mm

methodsData on sociodemographics, history, symptoms, clinical measures, and best-corrected visual acuity (BCVA) (as logarithm of the minimum angle of resolution [logMAR] units) at initial and 90-day visits were gathered, with BCVA carried forward for those healed before 90 days. Features were summarized overall and by site. Site-stratified multivariable linear regression models were investigated for associations with 90-day BCVA.

main outcome measuresNinety-day logMAR BCVA.

resultsOf 479 participants analyzed, after exclusions (n = 31) and participants without a 90-day BCVA (n = 52), participants had an average 90-day BCVA of 1.36 ± 1.40 logMAR in the United States (US) and 0.70 ± 0.99 logMAR in India (P < 0.0001). For the US, worse 90-day BCVA was associated with worse presenting BCVA (β = 0.05-logMAR per 0.1-logMAR unit increase in presenting BCVA; P < 0.0001), longer time until presentation (β = 0.01 per day; P < 0.0001), no contact lens use (β = 0.46; P = 0.0131), and larger stromal infiltrate area (bacterial: β = 0.02 per 1-mm

conclusionsInitial vision, longer time until presentation, and larger infiltrate size conferred risk for worse 90-day BCVA, whereas other factors were unique. Systems to mitigate care delays and to support access care are needed would support clinicians and improve vision outcomes. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

Corneal UlcerEye Infections, BacterialEye Infections, FungalVisual AcuityAdolescentAdultAgedAnti-Bacterial AgentsFemaleFollow-Up StudiesHumansIndiaMaleMiddle AgedProspective StudiesUnited StatesAnti-Bacterial AgentsCorneal ulcerMicrobial keratitisPrognosisVision impairmentVision outcomes

Identifiers

PMID39929390
PMCPMC12183003

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.