Evidence map›Paper›PMID 41212223›Full record

ReviewGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Update on pellucid marginal degeneration.

Ibraim V Vieira, Victoria H Fan, Charles Q Yu

Abstract readReview
In one paragraph

Review in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. 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

3 authors.

Ibraim V VieiraDepartment of Ophthalmology, Byers Eye Institute at Stanford, 94303, Palo Alto, CA, USA.
Victoria H FanDepartment of Ophthalmology, Byers Eye Institute at Stanford, 94303, Palo Alto, CA, USA.
Charles Q YuDepartment of Ophthalmology, Byers Eye Institute at Stanford, 94303, Palo Alto, CA, USA. chyu83@stanford.edu.ORCID http://orcid.org/0000-0001-8095-2930

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorJW and HM Goodman Family Foundation JW and HM Goodman Family FoundationNational Eye Institute (US) R01EY035670NEI NIH HHS P30EY026877 (CY)Research to Prevent Blindness Research to Prevent Blindness
6 · The paper itself

Abstract

purposeTo review recent developments (2014-2024) in the diagnosis and treatment of pellucid marginal degeneration (PMD), focusing on advances in corneal imaging technologies, biomechanical assessments, and the effectiveness of current contact lens treatments and surgical techniques. Additionally, to discuss the role of PMD in cataract surgery and the use of toric intraocular lenses (IOLs).

methodStructured search of PubMed, Scopus, and Embase (Nov 2024; Jan 2014-present) using PMD-related keywords/MeSH. After dual independent screening of 129 citations using predefined inclusion/exclusion criteria, 50 articles met eligibility and were included.

resultsRecent technologies enable better assessment of corneal curvature and pachymetry relationships, aiding differentiation of PMD from other ectatic diseases. Advances in biomechanical assessments have improved early detection and diagnostic precision. Most patients can be managed conservatively with new types of rigid contact lenses. Modified corneal cross-linking (CXL) protocols show promise in stabilizing the disease. Lamellar transplants offer visual outcomes comparable to penetrating keratoplasty with fewer complications. Wedge resection shows promising outcomes, but larger studies with long-term follow-up are still required. In cataract surgery, toric IOLs may provide effective astigmatism correction in selected PMD patients.

conclusionThe diagnosis and treatment of PMD have significantly evolved in the last decade. Improved imaging and biomechanical assessments aid in accurate diagnosis. Contact lenses and lamellar surgery are mainstay treatments. Future clinical studies should focus on the CXL protocols.

Indexed as

CorneaCorneal Dystrophies, HereditaryVisual AcuityCorneal TopographyHumansTomography, Optical CoherenceCollagenCorneaCrosslinkingDegenerationEctasiaKeratoconusMarginalPellucid

Identifiers

PMID41212223
PMCPMC12923473

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.