Evidence map›Paper›PMID 40530230›Full record

ArticleCureus2025

The Potential Role of Topical Losartan in Reducing Subepithelial Haze in Traumatic Laser-Assisted In Situ Keratomileusis (LASIK) Flap Avulsion.

Stephen LoBue, Will Dietlein, Ayorinde Cooley, Thomas Lunsford, Curtis R Martin, Fatma Shakarchi, Nicolas Zaunbrecher, Wyche T Coleman

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Stephen LoBueDepartment of Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.
Will DietleinDepartment of Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.
Ayorinde CooleyDepartment of Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.
Thomas LunsfordDepartment of Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.
Curtis R MartinDepartment of Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.
Fatma ShakarchiDepartment of Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.
Nicolas ZaunbrecherDepartment of Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.
Wyche T ColemanDepartment of Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of a 42-year-old woman who previously underwent femtosecond-assisted myopic laser-assisted in situ keratomileusis (LASIK) with uncorrected distance visual acuity (UDVA) 20/20- in both eyes (OU). The patient presented three months later following a motor vehicle accident (MVA), which she experienced blunt force trauma from airbag contact to the left eye (OS). In the emergency department, the patient complained of pain, decreased visual acuity, excessive tearing, and edema of the left eyelids. Slit lamp examination was consistent with a complete traumatic LASIK flap amputation OS. A bandage contact lens was placed combined with moxifloxacin eye drops. The UDVA was 20/400 OS. The patient was continued on moxifloxacin four times a day (QID) and transitioned to Tobradex drops QID at day nine with improvement in UDVA to 20/30-2. At three weeks post-MVA, the patient's visual acuity decreased to 20/100 secondary to significant corneal haze. Topical losartan 0.8 mg/mL was added six times per day along with fluorometholone two times a day (BID). Six weeks later, visual acuity was measured as 20/50-1 with improvement of central corneal haze. The patient was continued on losartan for four months with resolution of the corneal haze and improvement in UDVA to 20/30. Uncorrected visual acuity after LASIK flap amputation is generally favorable, especially if corneal haze can be prevented. Topical losartan has anti-fibrotic activity through inhibition of the transforming growth factor-beta (TGF-β) signaling pathway, and in conjunction with topical steroids, may be effective in improving corneal haze in patients with a traumatic LASIK flap amputation.

Indexed as

corneal hazeflap amputationlaser-assisted in situ keratomileusis (lasik)tgf betatopical losartan

Identifiers

PMID40530230
PMCPMC12173096

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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.