Evidence map›Paper›PMID 41283239›Full record

ReviewMedical sciences (Basel, Switzerland)2025

Emerging Innovations in the Treatment of Fuchs Endothelial Corneal Dystrophy: A Narrative Review.

Magdalena Niestrata, James Jackson, Shehnaz Bazeer, Mingya Alexa Gong, Zahra Ashena

Abstract readReview
In one paragraph

Review in Medical sciences (Basel, Switzerland), 2025. 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. Fenofibrate in ophthalmology: therapeutic efficacy and mechanisms.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2026
    Review
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

5 authors.

Magdalena NiestrataDepartment of Ophthalmology, Institute of Ophthalmology, University College London (UCL), London WC1E 6BT, UK.ORCID 0000-0002-5706-4561
James JacksonData Governance and Statutory Returns, University of East London (UEL), London E16 2RD, UK.
Shehnaz BazeerMoorfields Eye Hospital NHS Foundation Trust, London EC1V 2PD, UK.
Mingya Alexa GongDepartment of Ophthalmology, Institute of Ophthalmology, University College London (UCL), London WC1E 6BT, UK.
Zahra AshenaBarking, Havering and Redbridge University Hospitals NHS Trust, Romford, London RM1 2BA, UK.ORCID 0000-0002-8005-4062

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fuchs endothelial corneal dystrophy (FECD) is the leading cause of endothelial failure requiring keratoplasty in industrialised nations. Descemet membrane endothelial keratoplasty (DMEK) has become the gold-standard surgical therapy, yet it is constrained by limited donor tissue and a steep learning curve. This narrative review summarises current and emerging therapeutic strategies for FECD. We describe conventional endothelial keratoplasty and its outcomes, tissue-sparing procedures such as descemetorhexis without endothelial keratoplasty (DWEK) and quarter-DMEK, regenerative approaches including cultured endothelial cell injection and synthetic corneal substitutes, and adjunctive innovations ranging from Rho-associated kinase inhibitors to artificial intelligence-assisted diagnostics. Challenges surrounding donor shortages, variable clinical outcomes, regulatory hurdles and cost are critically appraised. We conclude by outlining future directions that are likely to combine advanced surgical techniques with cell-based and biomaterial solutions to deliver accessible, long-term restoration of vision for patients with FECD.

Indexed as

Descemet Stripping Endothelial KeratoplastyFuchs' Endothelial DystrophyHumansartificial intelligenceDMEKDWEKendothelial cell therapyFuchs endothelial corneal dystrophyreviewROCK inhibitorsynthetic cornea

Identifiers

PMID41283239
PMCPMC12642020

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.