Evidence map›Paper›PMID 40450226›Full record

Observational studyBMC ophthalmology2025

Efficacy of mini-scleral lenses in visual rehabilitation for corneal disorders: a prospective study.

Jaya Kaushik, Sumit Goyal, Ankita Singh, Vipin Rana, Jitendra Kumar Singh Parihar, Alok Sati, Mayank Jhanwar

Abstract readObservational Study
In one paragraph

Observational study in BMC ophthalmology, 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. 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

7 authors.

Jaya KaushikDept of Ophthalmology, Command Hospital (CC), Lucknow, India.ORCID http://orcid.org/0000-0002-6058-4875
Sumit GoyalDepartment of Ophthalmology, Military Hospital, Bareilly, India. sumit.2591@gmail.com.ORCID http://orcid.org/0009-0008-8678-0680
Ankita SinghDepartment of Ophthalmology, Military Hospital, Bareilly, India.ORCID http://orcid.org/0000-0002-8136-6375
Vipin RanaCommand Hospital (EC), Kolkata, India.ORCID http://orcid.org/0000-0002-1382-256X
Jitendra Kumar Singh PariharCentre For Sight, New Delhi, India.ORCID http://orcid.org/0000-0003-2428-1364
Alok SatiDept of Ophthalmology, Armed Forces Medical Services, New Delhi, India.ORCID http://orcid.org/0000-0001-5710-0510
Mayank JhanwarDepartment of Ophthalmology, INHS Sanjivani, Kochi, India.ORCID http://orcid.org/0000-0001-8257-3213

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCorneal irregularities are a significant cause of visual impairment, impacting patients' quality of life. Conventional treatment with spectacles and/or contact lenses fail to provide adequate rehabilitation in these cases. This study aimed to evaluate the efficacy and patient satisfaction with use of mini-scleral devices (MSDs) in patients with various corneal disorders including keratoconus, corneal scarring, post-corneal transplant, and post-refractive surgery.

methodsThis analytical, observational, prospective study included 40 eyes of 32 patients with corneal surface irregularities and rigid gas permeable (RGP) or soft contact lenses intolerance. Comprehensive ophthalmic evaluation, including corneal topography, was performed. Primary outcomes measured were improvement in best lens-corrected visual acuity (BLCVA) by ≥ 2 lines and daily wear time of ≥ 10 h. Secondary outcomes included patient comfort, lens acceptance, and adverse events. Patients were followed up for a duration of three months.

resultsMSDs significantly improved visual outcomes, with 80% of eyes achieving a BLCVA of ≥ 0.4 logMAR. Patients with keratoconus (85%) and post-refractive surgery status (100%) exhibited best visual improvement. The mean daily wear time was 12.1 ± 2.2 h. High comfort levels were reported in 26 eyes, while 12.5% of patients discontinued using the MSDs. No significant adverse events were observed.

conclusionMSDs represent a valuable therapeutic option offering improved visual outcomes, high levels of patient satisfaction and comfort in patients with various corneal disorders. These are a good alternative for eyes not amenable to correction with glasses or contact lenses, especially in patients planned for or awaiting corneal transplant.

Indexed as

Contact LensesCorneal DiseasesScleraVisual AcuityAdolescentAdultCorneal TopographyFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient SatisfactionProspective StudiesQuality of LifeTreatment OutcomeCorneal irregularitiesCorneal scarringKeratoconusMini-scleral lensesPost-refractive surgery

Identifiers

PMID40450226
PMCPMC12126882

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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.