Evidence map›Paper›PMID 41099592›Full record

ArticleTranslational vision science & technology2025

Long-Term Corneal Reshaping Using Riboflavin-UVA Crosslinking Combined With Decorin in Rabbits.

Chenli Feng, Xueqi Lin, Jiayue Yuan, Lingyan Wang, Lin Ye, Qianhong Feng, Shichu Liu, Zheng Li, Fei Yuan, Jinhui Dai

Abstract read
In one paragraph

Article in Translational vision science & technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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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

10 authors.

Chenli FengDepartment of Ophthalmology, Zhongshan Hospital, Fudan University, Shanghai, China.
Xueqi LinDepartment of Ophthalmology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jiayue YuanDepartment of Ophthalmology, Zhongshan Hospital, Fudan University, Shanghai, China.
Lingyan WangInstitute of Clinical Science, Zhongshan Hospital, Fudan University, Shanghai, China.
Lin YeDepartment of Ophthalmology, West China Hospital, Sichuan University, Chengdu, China.
Qianhong FengDepartment of Ophthalmology, Zhongshan Hospital, Fudan University, Shanghai, China.
Shichu LiuDepartment of Ophthalmology, Zhongshan Hospital, Fudan University, Shanghai, China.
Zheng LiInstitute of Clinical Science, Zhongshan Hospital, Fudan University, Shanghai, China.
Fei YuanDepartment of Ophthalmology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jinhui DaiDepartment of Ophthalmology, Zhongshan Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To establish a preclinical proof of concept for a novel, non-ablative method for long-term corneal reshaping and to investigate its biomechanical and safety profiles. Methods: A rabbit model of non-ablative corneal reshaping was established using a custom molding device. The optimal protocol involved stromal reshaping stabilized by riboflavin-ultraviolet A (UVA) collagen cross-linking (CXL; 7.2 J/cm2), with topical decorin applied as a biological modulator to maintain corneal clarity. Corneal topography was monitored for 12 months. Safety was assessed via in vivo clinical examinations, histology, and electron microscopy. Biomechanical properties were evaluated ex vivo via uniaxial tensile testing of rabbit corneas and human corneal lenticules. Results: In vivo, extensive reshaping with fixation induced significant corneal flattening (6.55 ± 1.44 D at 1 month, stabilizing to 6.19 ± 1.12 D at 12 months; P < 0.05 vs. controls). Mild reshaping yielded 3.13 ± 1.07 D flattening (1 month), but reshaping alone showed no significant effect (P > 0.05). One-month safety evaluations were favorable, demonstrating normal corneal architecture and no cytotoxicity. Ex vivo biomechanics were significantly enhanced by the combined CXL-decorin treatment compared to CXL alone. Conclusions: Combining mechanical molding with a CXL-decorin fixation protocol can achieve durable, non-ablative corneal reshaping, with the observed 12-month stability underpinned by enhanced biomechanical stiffness. This approach is a promising strategy for refractive correction and may have future applications in corneal ectatic diseases. Translational Relevance: This preclinical study validates the long-term safety and efficacy of a non-ablative, stromal-preserving, corneal-reshaping protocol, supporting its potential clinical translation for myopia.

Indexed as

CorneaCross-Linking ReagentsDecorinPhotosensitizing AgentsRiboflavinAnimalsBiomechanical PhenomenaCollagenCorneal StromaCorneal TopographyDisease Models, AnimalHumansRabbitsUltraviolet RaysCollagenCross-Linking ReagentsDecorinPhotosensitizing AgentsRiboflavin

Identifiers

PMID41099592
PMCPMC12534892

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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.