Evidence map›Paper›PMID 40638060›Full record

ArticleOphthalmology and therapy2025

Early Posterior Corneal Changes and Belin/Ambrósio Scores Following Photorefractive Keratectomy: A Pentacam Study.

Konuralp Yakar, Göksu Alaçamlı, Gökhan Özgür

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Article in Ophthalmology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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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.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Konuralp YakarDepartment of Ophthalmology, Faculty of Medicine, Atılım University, Ankara, Turkey. alpyakar@yahoo.com.ORCID http://orcid.org/0000-0002-3839-5699
Göksu AlaçamlıDepartment of Ophthalmology, Faculty of Medicine, Mugla University, Mugla, Turkey.ORCID http://orcid.org/0000-0001-5013-9981
Gökhan ÖzgürDepartment of Ophthalmology, Medicana International Samsun Hospital, Samsun, Turkey.ORCID http://orcid.org/0000-0003-1759-9753

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo evaluate early postoperative changes in the posterior corneal surface, anterior chamber parameters, and Belin/Ambrósio Enhanced Ectasia Display (BAD) scores following photorefractive keratectomy (PRK) using Pentacam tomography.

methodsThis observational study included 102 eyes of 51 patients (mean age 28.43 ± 6.27 years) undergoing alcohol-assisted PRK for myopia and/or astigmatism. Preoperative and 1-month postoperative assessments were performed using the Pentacam system, measuring, anterior chamber depth (ACD), anterior chamber volume (ACV), central corneal thickness, posterior keratometry, posterior elevation, and BAD scores. PRK was conducted with a WaveLight

resultsAt 1 month post-PRK, ACV significantly decreased (p < 0.01), while ACD reduction was not significant (p = 0.40). Posterior keratometry (K1, K2, Kmean) and astigmatism decreased (p < 0.01), with a mean posterior elevation increase of -2.50 ± 2.94 µm (p < 0.01). A weak negative correlation was observed between maximum posterior elevation difference and ablation depth (p = 0.03, r = -0.20) and ablation depth/preoperative pachymetry ratio (p = 0.03, r = -0.20). BAD-D scores (Dp, Dt, Da, total D) significantly increased (p < 0.01), except for Df (p = 0.41). No correlation was found with preoperative pachymetry or residual stroma.

conclusionsPRK induces minimal posterior corneal protrusion and BAD score changes at 1 month, potentially mimicking early ectasia. Multimodal testing is advised for accurate ectasia detection. Larger, longer-term studies are needed to validate these findings.

Indexed as

BAD scoresKeratoectasiaPentacamPhotorefractive keratectomyPosterior cornea

Identifiers

PMID40638060
PMCPMC12370613

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