Evidence map›Paper›PMID 42183401›Full record

ArticleJournal of ophthalmology2026

Comparative Evaluation of Scleral Lens Treatment in Ocular Surface Diseases: A Prospective Study.

Yirui Zhu, Jiangxiong Cai, Li Su, Jilian Dong, Jie Zhou, Haohan Zheng, Yujie Mou, Xiuming Jin

Abstract read
In one paragraph

Article in Journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Yirui ZhuEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China, zju.edu.cn.ORCID https://orcid.org/0009-0005-3247-2445
Jiangxiong CaiDepartment of Ophthalmology, Wenling Hospital Affiliated to Wenzhou Medical University (The First People's Hospital of Wenling), Taizhou, Zhejiang, China.
Li SuEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China, zju.edu.cn.
Jilian DongSchool of Public Health, China Medical University, Shenyang, China, cmu.edu.tw.
Jie ZhouEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China, zju.edu.cn.
Haohan ZhengEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China, zju.edu.cn.
Yujie MouEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China, zju.edu.cn.
Xiuming JinEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China, zju.edu.cn.ORCID https://orcid.org/0000-0001-7492-5143

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study evaluated the clinical efficacy and patient-reported outcomes of scleral lens wear across different ocular surface diseases, providing evidence for individualized fitting and management strategies. Methods: Patients with keratoconus, ocular surface trauma, postkeratoplasty, and dry eye were fitted with scleral lenses using OCT-guided customization. All participants underwent baseline examinations before and after lens wear, including best-corrected visual acuity (BCVA), intraocular pressure (IOP), central corneal thickness (CCT), and Ocular Surface Disease Index (OSDI) assessment. Patient-reported outcomes, including quality of life, comfort, visual clarity, handling, cleanliness, and satisfaction, were collected via a standardized questionnaire. Results: BCVA improved significantly in all groups after scleral lens wear, with the postkeratoplasty group showing the least improvement. OSDI scores decreased significantly across the groups. CCT increased after lens wear, indicating mild corneal thickening. The postkeratoplasty group exhibited significantly greater tear reservoir thickness at the superior and superonasal locations compared to the keratoconus and dry eye disease groups. Subjective ratings of handling, cleanliness, and satisfaction revealed no significant differences across the four groups. However, the trauma group reported less improvement in quality of life, and the postkeratoplasty group experienced lower comfort levels compared to the keratoconus group. Overall, 51.3% of patients reported experiencing midday fogging. Conclusions: Scleral lenses offer effective visual rehabilitation and symptom relief across diverse ocular surface diseases, with consistently high levels of patient-reported satisfaction. Future research should focus on individualized fitting strategies, address challenges such as midday fogging, and evaluate long-term safety and efficacy to guide wider clinical applications.

Indexed as

midday foggingocular surface diseasescleral lenstear reservoirvisual rehabilitation

Identifiers

PMID42183401
PMCPMC13197798

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.