Evidence map›Paper›PMID 40868931›Full record

ReviewLife (Basel, Switzerland)2025

A Comprehensive Review of the Role of Rho-Kinase Inhibitors in Corneal Diseases.

Elizabeth Y X Leong, Jianbin Ding, Duoduo Wu, Blanche X H Lim, Andrea Ang, Evan Wong, Nigel Morlet, Jodhbir S Mehta, Chris H L Lim

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
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

9 authors.

Elizabeth Y X LeongDepartment of Ophthalmology, National University Health System, Singapore 119228, Singapore.ORCID 0000-0001-5493-3445
Jianbin DingDepartment of Ophthalmology, National University Health System, Singapore 119228, Singapore.
Duoduo WuDepartment of Ophthalmology, National University Health System, Singapore 119228, Singapore.ORCID 0000-0002-2247-0949
Blanche X H LimDepartment of Ophthalmology, National University Health System, Singapore 119228, Singapore.ORCID 0000-0001-6930-5046
Andrea AngCornea and Oculoplastics Units, Department of Ophthalmology, Royal Perth Hospital, Perth, WA 6000, Australia.
Evan WongCornea and Oculoplastics Units, Department of Ophthalmology, Royal Perth Hospital, Perth, WA 6000, Australia.ORCID 0000-0002-5466-1176
Nigel MorletCornea and Oculoplastics Units, Department of Ophthalmology, Royal Perth Hospital, Perth, WA 6000, Australia.
Jodhbir S MehtaSingapore Eye Research Institute, Singapore 169856, Singapore.ORCID 0000-0001-6362-4898
Chris H L LimDepartment of Ophthalmology, National University Health System, Singapore 119228, Singapore.ORCID 0000-0003-2219-3184

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is growing interest in the application of Rho-associated protein kinase (ROCK) inhibitors (ROCKI) to the treatment of corneal diseases. ROCK is a key regulator of several cellular processes in the cornea, including cytoskeletal organization, cell proliferation, migration, inflammation, and wound healing. ROCKI, such as ripasudil and netarsudil, enhances endothelial cell migration, and promotes repair in conditions characterized by endothelial dysfunction. These agents also exert anti-inflammatory, anti-angiogenic, and anti-fibrotic effects for wound healing. As such, ROCKI demonstrate promise as therapeutic options for conditions such as Fuchs' endothelial corneal dystrophy, pseudophakic bullous keratopathy, and iridocorneal endothelial syndrome. Emerging data further supports ROCKI's potential in managing corneal neovascularization and supporting recovery following cataract surgery and keratoplasty, reducing the need for donor tissue. This narrative review provides a comprehensive evaluation of ROCKI's mechanism of action, pharmacological properties, safety profile, applications in corneal disease management, emerging clinical trials, and novel approaches. We emphasize both preclinical and clinical findings, highlight existing evidence gaps, and outline future research priorities.

Indexed as

corneal endotheliumcorneal neovascularizationFuchs endothelial corneal dystrophynetarsudilocular pharmacologyregenerative ophthalmologyRho-associated protein kinaseRho-associated protein kinase inhibitorsripasudilwound healing

Identifiers

PMID40868931
PMCPMC12387867

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.