MétaCan
Menu
Back to cohort
Record W4410382157 · doi:10.1016/j.ajoint.2025.100137

Povidone-iodine in the treatment of infectious keratitis: A systematic review

2025· review· en· W4410382157 on OpenAlex
Waleed K. Alsarhani, Amy Basilious, Marko M. Popovic, Sara Alshaker, Clara C. Chan

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueAJO International · 2025
Typereview
Languageen
FieldMedicine
TopicOcular Infections and Treatments
Canadian institutionsWestern UniversityUniversity of Toronto
Fundersnot available
KeywordsKeratitisMedicineIodineDermatologyIntensive care medicineChemistry

Abstract

fetched live from OpenAlex

Purpose To evaluate if povidone-iodine (PI) is effective and safe in the treatment of infectious keratitis. Design Systematic review Methods A systematic review of Ovid MEDLINE, EMBASE, and Cochrane Library was conducted to find relevant published articles. Outcomes including best corrected visual acuity, infiltrate, ulcer size and colony forming units (CFUs) were collected. All randomized clinical trials (RCTs) and observational studies published in English were included. Results A total of 221 articles were identified. After screening of titles and abstracts, 15 articles underwent full-text review. Three RCTs, one cohort and four case reports met the inclusion criteria. In one study, PI was shown to be an effective treatment in reducing infiltrate and ulcer size while waiting for culture results. Another study found no significant difference between PI and antibiotic treatment in achieving recovery and presumed cure. However, two other studies reported that PI did not significantly reduce CFU or improve visual outcomes when added to standard antibiotic treatment. None of the studies reported any safety concerns with topical PI. Conclusions Some studies suggest that PI may have potential benefits in the management of infectious keratitis, while others found no significant differences relative to placebo or when added to topical antibiotic treatment. . The current evidence is limited by small sample sizes and heterogeneity in study design, populations, outcome measures, and PI concentrations. RCTs with a larger sample size, and standardized PI concentrations, durations, and outcome measures are recommended to confirm the efficacy of PI in the treatment of infectious keratitis.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.371
Threshold uncertainty score0.542

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.027
GPT teacher head0.384
Teacher spread0.357 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it