Evidence map›Paper›PMID 40936031›Full record

SynthesisGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025

Corneal stability comparison between prophylactic cross-linking with laser refractive surgery technique versus laser refractive surgery technique alone for myopia: a meta-analysis.

Shuang-An Yang, Shiow-Wen Liou, Chun-Chen Chen

Abstract readMeta-AnalysisComparative StudyReview
In one paragraph

Synthesis in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 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
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

3 authors.

Shuang-An YangDepartment of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, USA.
Shiow-Wen LiouDepartment of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Chun-Chen ChenDepartment of Ophthalmology, Taipei City Hospital, No.10, Sec. 4, Ren'ai Rd., Da'an District, Renai Branch, 106, Taipei City, Taiwan. DAC03@tpech.gov.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo summarize whether corneal cross-linking (CXL) with laser refractive surgery improves corneal stability more than laser surgery alone for myopia.

methodsFive electronic databases were systematically searched from inception to Aug, 2023. Studies comparing the effects of prophylactic corneal CXL with laser refractive surgery technique versus laser refractive surgery technique alone in myopic eyes were included. The included articles regarding prophylactic CXL combination with laser refractive surgery technique, riboflavin was all delivered into the stroma with similar accelerated protocols (irradiance of 30mW/cm

resultsTwelve eligible studies with 1,252 eyes met our inclusion criteria. Compared to those receiving laser refractive surgery technique alone, patients who received prophylactic CXL with laser refractive surgery technique had significantly less UDVA and CDVA decrease within post-operative 12 months (UDVA:WMD -0.04, 95% CI -0.06-(-0.01), p=0.01/CDVA: WMD -0.01, 95% CI -0.03-(-0.00), p=0.02). Furthermore, patients with spherical equivalent

conclusionFor visual outcome, prophylactic CXL with laser refractive surgery, compared to laser refractive surgery alone, provided more stability within post-operative one-year among myopic patients with comparable efficacy and predictability. Particularly, those with higher myopia or receiving LASIK procedure as refractive surgery benefited more from prophylactic CXL.

Indexed as

CollagenCorneaCorneal Surgery, LaserCross-Linking ReagentsKeratomileusis, Laser In SituLasers, ExcimerMyopiaPhotochemotherapyRefraction, OcularRiboflavinVisual AcuityCorneal StromaHumansPhotosensitizing AgentsUltraviolet RaysCollagenCross-Linking ReagentsPhotosensitizing AgentsRiboflavinCorneal cross-linking (CXL)Keratorefractive Lenticule Extraction (KLEx)Laser-assisted in situ keratomileusis (LASIK)Myopia; Visual acuity (VA)Photorefractive Keratectomy (PRK)Small Incision Lenticule Extraction (SMILE)

Identifiers

PMID40936031
PMCPMC12675695

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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.