Evidence map›Paper›PMID 42133149›Full record

ArticleInternational ophthalmology2026

Corneal epithelial mapping after accelerated corneal cross-linking: early remodeling patterns.

Suzan Amana Rattan, Ayat Abdulkadhim Jawad

Abstract read
PubMed Publisher
In one paragraph

Article in International ophthalmology, 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.

Suzan Amana RattanAl-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq. suzanamana@kmc.uobaghdad.edu.iq.
Ayat Abdulkadhim JawadAl-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate early regional corneal epithelial thickness changes following accelerated epithelium-off corneal cross-linking (CXL) in progressive keratoconus using anterior segment optical coherence tomography (AS-OCT), and to explore their relationship with anterior corneal curvature and spherical equivalent.

designProspective case series.

methodsNinety eyes of 75 patients with progressive keratoconus underwent accelerated epithelium-off CXL (9 mW/cm

resultsBaseline central epithelial thickness was 59.7 ± 5.8 µm. At 1 month, central thickness showed minimal change, while at 3 months it increased to 62.9 ± 4.0 µm (P < 0.001). Sectoral analysis demonstrated relative thinning in nasal and inferonasal outer regions (1-3 µm; P < 0.05) and thickening in selected temporal sectors. The thinnest epithelial point shifted from the inferotemporal to the inferonasal regions. Kmax demonstrated a borderline postoperative change (P = 0.051), and no statistically significant correlations were observed between epithelial thickness changes and Kmax at any time point. Spherical equivalent remained unchanged (P = 0.19).

conclusionsAccelerated epithelium-off CXL was associated with early, region-specific changes in epithelial thickness within three months after surgery. Variability in measurements due to the tear film and the short follow-up period likely influences these results, reflecting early surface remodeling rather than permanent stromal stabilization. Epithelial mapping may provide additional structural information during early postoperative monitoring; however, its ability to predict long-term treatment outcomes requires further research.

Indexed as

Corneal Cross-LinkingCross-Linking ReagentsEpithelium, CornealKeratoconusRiboflavinAdolescentAdultCollagenCorneal TopographyFemaleFollow-Up StudiesHumansMalePhotosensitizing AgentsProspective StudiesTomography, Optical CoherenceCollagenCross-Linking ReagentsPhotosensitizing AgentsRiboflavinAnterior segment OCTCorneal cross-linkingCorneal epithelial mapKeratoconusKeratoconus progression

Identifiers

What OpenQuestion holds

Textmetadata
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.