Evidence map›Paper›PMID 41646555›Full record

ReviewCureus2026

Early Postoperative Endothelial Cell Density Predicts Graft Survival After Keratoplasty: A Systematic Review and Meta-Analysis.

Haidar Bonajmah, Faisal Aljassar

Abstract readReview
In one paragraph

Review in Cureus, 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

2 authors.

Haidar BonajmahOphthalmology, Kuwait Institute for Medical Specialization, Kuwait City, KWT.
Faisal AljassarDepartment of Ophthalmology, Mohamed Abdulrahman Al Bahar Eye Centre, Ibn Sina Hospital, Kuwait City, KWT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term graft clarity after corneal transplantation depends on sustained endothelial survival, yet the prognostic role of early postoperative endothelial metrics has not been clearly synthesized. We therefore reviewed longitudinal clinical evidence and quantitatively summarized the relationship between early postoperative endothelial status and later endothelial failure-related graft failure across common keratoplasty techniques. Overall, lower endothelial reserve measured in the early postoperative period consistently aligned with higher subsequent failure risk, with suggestive signals that risk may rise steeply below certain low-density ranges, while a minority of grafts can remain clear despite very low counts. Limited data also indicate that some endothelial morphological features may add prognostic value beyond cell density. These findings support using early postoperative endothelial assessment as part of practical risk stratification and follow-up planning, alongside measures aimed at preserving endothelial reserve to help extend graft longevity.

Indexed as

corneal graftcorneal transplantationendothelial cell densitykeratoplastymeta-analysissystematic review

Identifiers

PMID41646555
PMCPMC12869817

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.