Evidence map›Paper›PMID 40628908›Full record

Observational studyScientific reports2025

Comparison of the outcomes of trabeculectomy and Ab interno trabeculotomy on corneal biomechanics.

Shuichiro Aoki, Ryo Asaoka, Yuri Fujino, Shunsuke Nakakura, Hiroshi Murata, Yoshiaki Kiuchi

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Shuichiro AokiDepartment of Ophthalmology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.
Ryo AsaokaDepartment of Ophthalmology, Seirei Hamamatsu General Hospital, Hamamatsu, Japan. rasaoka-tky@umin.ac.jp.
Yuri FujinoDepartment of Ophthalmology, Shimane University, Shimane, Japan.
Shunsuke NakakuraDepartment of Ophthalmology, Tsukazaki Memorial Hospital, Hyogo, Japan.
Hiroshi MurataDepartment of Ophthalmology, National Center for Global Health and Medicine, Shinjuku, Japan.
Yoshiaki KiuchiDepartment of Ophthalmology and Visual Science, Hiroshima University, Hiroshima, Japan.

Funding

the Ministry of Education, Culture, Sports, Science and Technology of Japan 19H01114
6 · The paper itself

Abstract

This observational cohort study aimed at comparing the postoperative changes in corneal biomechanical properties between trabeculectomy and ab interno trabeculotomy. The study included 46 eyes undergoing trabeculectomy (TLE group) and 92 eyes undergoing ab interno trabeculotomy with lens reconstruction (µLOT + LR group). Corneal hysteresis (CH), which represents corneal damping capacity, along with stiffness parameter A1 (SP-A1) and stress-strain index (SSI), which represent corneal stiffness, were measured preoperatively using the Ocular Response Analyzer and Corneal Visualization Scheimpflug Technology (Corvis ST), respectively. Changes in these parameters 12 months after surgery were analyzed and compared between the groups. Baseline IOP and biomechanical parameters were comparable between both groups. Both surgeries significantly reduced IOP after 12 months, with a greater reduction in the TLE group than in the µLOT + LR group (- 7.4 vs. -3.8 mmHg). Corvis ST parameters showed significant changes postoperatively, with greater reductions in SP-A1 and SSI in the TLE group. CH increased significantly in both groups, but the ratio of the change in CH to the change in IOP (ΔCH/ΔGAT-IOP) was greater in the µLOT + LR group. In conclusions, the cornea exhibited greater softening following TLE compared to µLOT + LR, suggesting a more substantial reduction in IOP. Clinicians should consider the potential bias for IOP measurement due to corneal softening. In contrast, the increase in CH per reduction in IOP was more pronounced after µLOT + LR. These findings highlight the importance of recognizing surgery-induced biomechanical changes when interpreting postoperative IOP measurements, as well as their potential role in predicting long-term glaucoma progression.

Indexed as

CorneaGlaucomaTrabeculectomyAgedBiomechanical PhenomenaFemaleHumansIntraocular PressureMaleMiddle AgedTreatment Outcome

Identifiers

PMID40628908
PMCPMC12238467

What OpenQuestion holds

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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.