Evidence map›Paper›PMID 40837449›Full record

ArticleAmerican journal of ophthalmology case reports2025

Use of a Kerato-lenticule extraction (KLEx) lenticule to protect the lens during pupilloplasty: a novel technique in phakic eyes.

Aylin Tetik, Guillaume Boutillier, David Toubeau, Fanny Chaventre, Anaïs Vautier, Julie Gueudry, Marc Muraine

Abstract readCase Reports
In one paragraph

Article in American journal of ophthalmology case 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

7 authors.

Aylin Tetik
Guillaume Boutillier
David Toubeau
Fanny Chaventre
Anaïs Vautier
Julie Gueudry
Marc Muraine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Pupilloplasty techniques are delicate, especially in phakic patients where the risk of touching the lens with the needle during the procedure is high. We report the case of a phakic patient in whom we used an allogeneic Kerato-lenticule Extraction (KLEx) lenticule temporarily to protect the lens during the procedure. Observation: This is a 43-year-old male patient with a significant post-traumatic temporal iris defect. The patient complained of permanent discomfort in the form of monocular diplopia and photophobia. Surgery was performed under local anesthesia. The first step was to position a 6.5 mm-diameter, 109 μm-thick KLEx lenticule in front of the crystalline lens. The iris defect was then repaired with greater safety by positioning prolene knots using the Siepser technique. At the end of the procedure, the lenticule was removed from the anterior chamber. Post-operative follow-up confirmed the absence of lens damage, with no cataract at 6 months post-op. Conclusions and importance: We report here a new technique in pupilloplasty by using a temporary KLEx lenticule as part of the iris repair. We found the procedure much less risky when the needles were passed anterior to the crystalline lens.

Indexed as

Clear lensKerato-lenticule extractionKLExPhakic eyePupilloplastySmall incision lenticule extractionSMILE

Identifiers

PMID40837449
PMCPMC12361618

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.