Evidence map›Paper›PMID 42326192›Full record

ArticleCureus2026

Delayed Corneal Endothelial Cell Loss Following CyPass Stent Insertion: A Case Report.

Catherine M Ouyang, Alexander G Southall, Keith S Ong

Abstract readCase Reports
In one paragraph

Article 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

3 authors.

Catherine M OuyangOphthalmology, Sydney Eye Hospital, Sydney, AUS.
Alexander G SouthallEngineering, The University of Sydney, Sydney, AUS.
Keith S OngOphthalmology, Royal North Shore Hospital, Sydney, AUS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of delayed corneal endothelial cell loss (CECL) following CyPass® stenting in a 71-year-old female with normal-tension glaucoma. CECL is a known complication of the CyPass® stent, which resulted in its withdrawal from the market in 2018; however, the mechanism for CECL is often attributed to mechanical endothelial disruption from poorly positioned stents. In this case, our patient suffered around a 40% CECL, which first started five years following stent implantation and responded well to ripasudil therapy. This occurred despite it being optimally positioned, prompting an alternate explanation for the mechanism of CECL following CyPass® stent insertion. We propose three areas for future research, which may explain the CECL: mechanical stress, such as from device-cornea touching; inflammation, from a chronic foreign body reaction; and direct cytotoxicity from degradation of irradiated polyimide material. Further research is needed to establish the biocompatibility of irradiated polyimide in the eye, as well as the role of ripasudil in stabilizing minimally invasive glaucoma surgery-related CECL.

Indexed as

corneal endothelial cell losscytotoxicityforeign body reactionminimally invasive glaucoma surgerysurgical glaucoma

Identifiers

PMID42326192
PMCPMC13281244

What OpenQuestion holds

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LicenceCC BY
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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.