Evidence map›Paper›PMID 42652982›Full record

ArticleLife (Basel, Switzerland)2026

Clinical Anterior Segment and Ocular Surface Findings Across Renal Replacement Modalities: Associations with CKD-Related Factors, Mineral Metabolism and Activin A.

Ioana-Madalina Bilha, Stefana Catalina Bilha, Nada Akad, Adrian Covic, Simona Hogaș, Mihai Marian Hogaș, Ioana Alina Halip, Calina Anda Sandu-Boz, Camelia Margareta Bogdanici, Irina Draga Caruntu

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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5 · Who and what money

Authors and funding

10 authors.

Ioana-Madalina BilhaDepartment of Morpho-Functional Sciences I-Histology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Stefana Catalina BilhaDepartment of Internal Medicine II-Endocrinology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.ORCID 0000-0002-9552-8558
Nada AkadDepartment of Internal Medicine II-Nephrology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Adrian CovicDepartment of Internal Medicine II-Nephrology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.ORCID 0000-0002-9985-2486
Simona HogașDepartment of Internal Medicine II-Nephrology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Mihai Marian HogașDepartment of Morpho-Functional Sciences II, Discipline of Physiology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Ioana Alina HalipDepartment of Internal Medicine III-Dermatology-Venerology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Calina Anda Sandu-BozDepartment of Surgery II-Ophthalmology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.ORCID 0000-0003-0516-9262
Camelia Margareta BogdaniciDepartment of Surgery II-Ophthalmology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.ORCID 0000-0002-9542-7714
Irina Draga CaruntuDepartment of Morpho-Functional Sciences I-Histology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

Funding

Grigore T. Popa University of Medicine and Pharmacy 10063/15.05.2025
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is characterized by persistent inflammation, metabolic dysregulation, and mineral and bone disorder (CKD-MBD), all of which may affect ocular tissues. While retinal manifestations of CKD have been increasingly investigated, data regarding clinical anterior segment modifications and their relationship with systemic biochemical parameters remain limited.

methodsWe performed a cross-sectional study including 130 participants: 53 non-CKD subjects, 29 patients undergoing maintenance hemodialysis (HD), and 48 kidney transplant recipients (KTRs). All participants underwent comprehensive ophthalmic examination, including best-corrected visual acuity (BCVA), intraocular pressure (IOP) measurement using Goldmann applanation tonometry, Schirmer I test, tear break-up time (TBUT) and assessment of cataract and blepharitis prevalence. Serum creatinine estimated glomerular filtration rate (eGFR), calcium, phosphate, parathyroid hormone (PTH), magnesium, 25-hydroxyvitamin D, and Activin A were recorded. Associations between ocular and systemic parameters were evaluated using correlation and regression analyses.

resultsTBUT, Schirmer I and IOP did not differ significantly among groups (all

conclusionsIn CKD, clinical anterior segment and ocular surface differences were largely explained by age, sex, and comorbidity rather than renal replacement modality, with visual acuity deficit persisting in HD after adjusting for these covariates. At the individual level, corrected calcium was the parameter most consistently associated with tear film parameters in KTRs, whereas elevated Activin A was not independently associated with ocular involvement and likely reflects systemic disease activity.

Indexed as

Activin Acataractchronic kidney diseasehemodialysiskidney transplantationmineral metabolismocular surfaceSchirmer I testtear break-up time

Identifiers

PMID42652982
PMCPMC13514610

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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.