Evidence map›Paper›PMID 40157723›Full record

Trial reportBMJ open ophthalmology2025

Effect of high and low molecular weight sodium hyaluronic acid eye drops on corneal recovery after crosslinking in keratoconus patients.

Gamze Özkan, Semra Akkaya Turhan, Ebru Toker

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open 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 NCT06243991 (The Effect Of High And Low Molecular Weight Sodium Hyaluronic Acid Eye Drops On Corneal Recovery After Crosslinking), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT06243991 completednot on this map

The Effect Of High And Low Molecular Weight Sodium Hyaluronic Acid Eye Drops On Corneal Recovery After Crosslinking

Typeobservational_patient_registrySponsorMarmara UniversityRan2021 to 2023Enrolled63ConditionsKeratoconusArmsin vivo Corneal Confocal Microscopy, Corneal Sensitivity, Non invasive tear break up time, Ocular Surface Disease Index Qestionnaire, Corneal tomography
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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

3 authors.

Gamze ÖzkanOphthalmology, Marmara University School of Medicine, Istanbul, Turkey ozkngamze@gmail.com.ORCID 0000-0002-5526-691X
Semra Akkaya TurhanOphthalmology, Marmara University School of Medicine, Istanbul, Turkey.ORCID 0000-0001-8322-1842
Ebru TokerOphthalmology, West Virginia University, Morgantown, West Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the impact of eye drops containing high molecular weight hyaluronic acid (HMW-HA) and low molecular weight hyaluronic acid (LMW-HA) on corneal nerve regeneration, dendritic cell (DC) density, corneal sensitivity (CS) and ocular surface parameters in patients with keratoconus following corneal crosslinking (CXL). METHODS AND ANALYSIS: 63 eyes of 55 patients with keratoconus were randomised to receive eye drops containing HMW-HA (n: 20) for 12 months, LMW-HA (n: 23) for 12 months and polyvinyl alcohol (n: 20) until closure of the epithelial defect in the control group after CXL. Subbasal nerve plexus (SNP) was imaged with corneal confocal microscopy and quantified with ACCMetrics. DC density was calculated with Image J. Ocular Surface Disease Index (OSDI) questionnaire and non-invasive break-up time (NI-TBUT) were evaluated. All measurements were performed before CXL and 1, 3, 6 and 12 months postsurgery.

resultsAt 6 months post-CXL, SNP reached to its preoperative. CS was higher in the HMW-HA groups compared with the other two groups in the 3rd and 6th month post-CXL. DC density was higher in the LMW-HA group compared with the HMW-HA group in the postoperative 3rd month. OSDI were higher in the control group compared with both the LMW-HA and HMW-HA groups at postoperative 3rd and 6th months. NI-TBUT was lower in the control group in the 6th and 12th months compared with the other groups.

conclusionsThe use of artificial tear drops containing HMW-HA may have a therapeutic effect to promote corneal nerve regrowth and support faster functional recovery after CXL. TRIAL REGISTRATION NUMBER: NCT06243991.

Indexed as

CorneaCross-Linking ReagentsHyaluronic AcidKeratoconusNerve RegenerationPhotochemotherapyAdolescentAdultCollagenFemaleFollow-Up StudiesHumansMaleMicroscopy, ConfocalMolecular WeightOphthalmic SolutionsCollagenCross-Linking ReagentsHyaluronic AcidOphthalmic SolutionsPhotosensitizing AgentsRiboflavinCorneaOcular surfaceWound healing

Identifiers

PMID40157723
PMCPMC11956357

What OpenQuestion holds

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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.