Evidence map›Paper›PMID 40093020›Full record

ArticleFrontiers in medicine2025

Analysis of central corneal thickness in systemic lupus erythematosus.

Juan David Saldaña-Garrido, Mario Cantó-Cerdán, Vicente Francisco Gil-Guillén, María Luisa Alfaro-Beltrá, Francisca Sivera

Abstract read
In one paragraph

Article in Frontiers in medicine, 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

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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

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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

5 authors.

Juan David Saldaña-GarridoDepartment of Ophthalmology, General University Hospital of Elda, Alicante, Spain.
Mario Cantó-CerdánVissum Miranza, Alicante, Spain.
Vicente Francisco Gil-GuillénDepartment of Clinical Medicine, School of Medicine, Miguel Hernández de Elche University, San Juan de Alicante, Spain.
María Luisa Alfaro-BeltráDepartment of Ophthalmology, General University Hospital of Elda, Alicante, Spain.
Francisca SiveraDepartment of Clinical Medicine, School of Medicine, Miguel Hernández de Elche University, San Juan de Alicante, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with ocular involvement in up to 30% of cases. Due to its type I collagen composition, the cornea is particularly susceptible to thinning due to immune-complex deposition. A reduced central corneal thickness (CCT) is clinically relevant in glaucoma, where a thinner CCT increases glaucoma risk and in refractive surgery planning. Previous studies on CCT in SLE are limited due to methodological heterogeneity, technology use, inclusion criteria, and sample size, resulting in conflicting findings. This study aims to evaluate and compare the mean CCT values between patients with SLE and healthy controls. Materials and methods: This cross-sectional study assessed mean CCT in 71 participants, 36 patients with SLE and 35 age- and sex-matched healthy controls, recruited from ophthalmology consultations. Participants with other risk factors for corneal thinning were excluded. A pilot study estimated a sample size of 34 participants per group. After confirming concordance using the Kappa index, one randomly selected eye per participant was included. CCT was measured using Zeiss HD Cirrus 5,000 optical coherence tomography. Correlation analysis was conducted using Spearman's Rho coefficient, while a Loess regression was performed to visualize both linear and non-linear trends. Multivariate linear regression assessed the relationship between CCT, SLE, and other variables. Results: Patients in the SLE group exhibited significantly thicker CCT than controls (536.44 ± 39.91 μm vs. 517.57 ± 29.62 μm, Discussion: We established an association between CCT and the presence of SLE, with SLE patients exhibiting significantly higher CCT values, potentially due to hydroxychloroquine use. These findings have important implications for IOP assessment, glaucoma risk evaluation, and refractive surgery planning in SLE patients and those undergoing treatment with HCQ. Further prospective studies are warranted to validate these observations and explore the underlying mechanisms.

Indexed as

central corneal thicknessglaucomahydroxychloroquineoptical coherence tomographypachymetrysystemic lupus erythematosus

Identifiers

PMID40093020
PMCPMC11907372

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