Evidence map›Paper›PMID 40168155›Full record

ArticleInvestigative ophthalmology & visual science2025

Deep Corneal Nerve Plexus Selective Damage in Persistent Neurotrophic Corneal Epithelial Defects Detected by In Vivo Multiphoton Confocal Microscopy.

Seitaro Komai, Manuel E Quiroga-Garza, Raul E Ruiz-Lozano, Nadim S Azar, Hazem M Mousa, Sofia Murillo, Symon Ma, Ali Khodor, Sejiro Littleton, Daniel R Saban and 2 more

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

12 authors.

Seitaro KomaiFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Manuel E Quiroga-GarzaFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Raul E Ruiz-LozanoFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Nadim S AzarFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Hazem M MousaFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Sofia MurilloFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Symon MaFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Ali KhodorBascom Palmer Eye Institute, University of Miami, Miami, Florida, United States.
Sejiro LittletonFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Daniel R SabanFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.
Alain ChédotalInstitut de la Vision, Sorbonne Université, INSERM, CNRS, Paris, France.
Victor L PerezFoster Center for Ocular Immunology, Duke Eye Center, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, United States.

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Goldis Malek · 1985 to 2026
$19.3M
Blink, Lacrimation, and Nociception: Precision Mapping and Integrated Atlas Generation of Corneal Trigeminal AfferentsU01EY034687 · NEI · DUKE UNIVERSITY · PI Sina Farsiu, Victor L Perez · 2022 to 2026
$6.4M
Immune Mechanisms in Ocular Graft versus Host DiseaseR01EY024484 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LEVY, ROBERT BENJAMIN, PEREZ, VICTOR L · 2014 to 2025
$5.1M
Local regulation and deletion of T cells to induce tolerance and establish long-term survival of high-risk corneal transplantsR01EY030283 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Robert Benjamin Levy, Victor L Perez · 2020 to 2026
$3.1M
NEI NIH HHS P30 EY005722NEI NIH HHS R01 EY024484NEI NIH HHS R01 EY030283NEI NIH HHS U01 EY034687
6 · The paper itself

Abstract

Purpose: To investigate the corneal nerve damage in neurotrophic corneal persistent epithelial defects by an in vivo imaging system using in vivo multiphoton confocal microscopy (MCM) and calcitonin gene-related peptide (CGRP):GFP Tg mice. Methods: Corneal epithelium was scraped, followed by administering a single dose of benzalkonium chloride (BAK) to develop a neurotrophic persistent epithelial defect. The defect was imaged with fluorescein staining for up to 24 hours, and wound closure percentage (%, WCP) was calculated. CGRP:GFP Tg mice were used in combination with in vivo MCM to acquire in vivo images of corneal nerve before and 24 hours after the creation of a corneal epithelial defect. GFP signals from CGRP-positive nerves were reconstructed into three-dimensional (3D) images, and nerve volume was analyzed. Additionally, corneal mechanosensation was evaluated using Cochet-Bonnet esthesiometry. Results: BAK-treated eyes showed a significant delay in WCP at 24 hours. In CGRP:GFP Tg mice, CGRP-positive nerves were successfully captured by in vivo MCM and reconstructed into 3D images. BAK-treated eyes showed a significant decrease in both stromal nerve volume and corneal mechanosensation compared to no BAK eyes at 24 hours after corneal scraping, suggesting that BAK impaired the stromal nerves in both structural and functional asides. Conclusions: Our in vivo corneal nerve imaging system using the combination of in vivo MCM and CGRP:GFP Tg mice demonstrated a longitudinal observation of murine corneal nerves. This system revealed that corneal stromal nerves were selectively damaged in persistent neurotrophic corneal epithelial defects and offered outstanding potential for various applications.

Indexed as

CorneaCorneal DiseasesEpithelium, CornealOphthalmic NerveAnimalsBenzalkonium CompoundsCalcitonin Gene-Related PeptideDisease Models, AnimalGreen Fluorescent ProteinsMiceMice, Inbred C57BLMice, TransgenicMicroscopy, ConfocalMicroscopy, Fluorescence, MultiphotonBenzalkonium CompoundsCalcitonin Gene-Related PeptideGreen Fluorescent Proteins

Identifiers

PMID40168155
PMCPMC11967994

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.