Evidence map›Paper›PMID 40423617›Full record

ArticleTranslational vision science & technology2025

The Efficacy and Safety of Oxygen-Enriched Rose Bengal and Green Light Corneal Crosslinking.

Rongrong Gao, Ming Chen, Wenqian Xing, Qingqing Jiang, Keith M Meek, Qinmei Wang, A-Yong Yu, Jinhai Huang

Abstract read
In one paragraph

Article in Translational vision science & technology, 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. 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

8 authors.

Rongrong GaoNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Ming ChenNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Wenqian XingEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Qingqing JiangNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Keith M MeekEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Qinmei WangNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
A-Yong YuNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jinhai HuangNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the efficacy and safety of Rose Bengal (RB) and green light crosslinking (RGX) with supplemental oxygen. Methods: Rabbits were divided into three groups. Rabbits in the control group were de-epithelialized and served as controls. Rabbits in the RGX-nO2 group were de-epithelialized, stained with 0.1% RB for 20 minutes, and then exposed to green light at 0.25 W/cm2 for 10 minutes in an ambient atmospheric oxygen environment. Rabbits in the RGX-hO2 group received the same treatment as group 2, but supplemental oxygen was given to the ocular surface during irradiation. Central corneal thickness was measured at various points during RGX. After RGX, corneal microstructure, corneal biomechanics, and resistance to enzyme lysis were evaluated. Results: RGX-hO2 and RGX-nO2 significantly increased the corneal tensile strength by factors of 1.76 and 1.46, respectively. The times for complete corneal digestion within the RGX-hO2, RGX-nO2, and control groups were 23.2 ± 1.1 hours, 18.0 ± 2.0 hours, and 8.4± 0.9 hours. The average collagen fibril diameters (43.58 ± 0.93 nm, 40.46 ± 1.11 nm, and 35.25 ± 0.75 nm, respectively) and surface-to-surface spacing (11.67 ± 1.91 nm, 15.51 ± 1.66 nm, and 24.93 ± 1.95 nm, respectively) also differed statistically among the three groups. No evidence of endothelial or stromal cell damage was detected by endothelial staining or TUNEL assay. Conclusions: Increasing the concentration of oxygen during the irradiation process enhances RGX efficacy without causing obvious damage to a rabbit's endothelium or stromal cells. Translational Relevance: The study can potentially help with improvement of the existing clinical crosslinking protocol.

Indexed as

CorneaCross-Linking ReagentsKeratoconusLightOxygenPhotosensitizing AgentsRose BengalAnimalsCollagenGreen LightRabbitsTensile StrengthCollagenCross-Linking ReagentsOxygenPhotosensitizing AgentsRose Bengal

Identifiers

PMID40423617
PMCPMC12124148

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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.