Evidence map›Paper›PMID 24695688›Full record

Observational studyThe British journal of ophthalmology2014

Therapeutic effects of 0.1% tacrolimus eye drops for refractory allergic ocular diseases with proliferative lesion or corneal involvement.

Atsuki Fukushima, Yuichi Ohashi, Nobuyuki Ebihara, Eiichi Uchio, Shigeki Okamoto, Naoki Kumagai, Jun Shoji, Etsuko Takamura, Yayoi Nakagawa, Kenichi Namba and 2 more

2 registry-linked trialsOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in The British journal of ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
8.4field-weighted citation impact, top 2% of its field
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.

NCT05618730 phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

Safety, Tolerability, Plug Retention and Preliminary Efficacy of Tacrolimus-loaded Punctal Plug in Patients With Moderate to Severe Dry Eye Disease - Cohort B

TypeinterventionalSponsorEximore Ltd.Ran2022 to 2023Enrolled20ConditionsDry Eye, Keratoconjunctivitis Sicca, Ocular InflammationArmspunctum plug insertion, Eye Drops, Lubricant
NCT06903884 phase3recruitingnot on this mapstarted 2026, after this paper: background citation

A Randomized Controlled Trial of 3% Diquafosol Ophthalmic Solution for Active Moderate-to-Severe Vernal Keratoconjunctivitis

TypeinterventionalSponsorThe University of Hong KongRan2026 to 2028Enrolled94ConditionsVernal KeratoconjunctivitisArms3% Diquafosol ophthalmic solution and 0.1% Cyclosporin A cationic ophthalmic emulsion, 0.1% Cyclosporin A cationic ophthalmic emulsion
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 117 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. Review
  5. Article
  6. Article
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  8. A Case of Tacrolimus Maculopathy.Clinics and practice · 2022
    Article
  9. Ocular surface disturbance in patients after acute COVID-19.Clinical & experimental ophthalmology · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. A comparative study between ciclosporine A eye drop (2%) and tacrolimus eye ointment (0.03%) in management of children with refractory vernal keratoconjunctivitis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  14. Article
  15. Review
  16. Article
  17. Review
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  20. 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

12 authors at 11 institutions in 1 country.

Atsuki FukushimaDepartment of Ophthalmology, Kochi Medical School, Kochi, Japan.
Yuichi OhashiDepartment of Ophthalmology, Ehime University School of Medicine, Ehime, Japan.
Nobuyuki EbiharaDepartment of Ophthalmology, Juntendo University School of Medicine, Tokyo, Japan.
Eiichi UchioDepartment of Ophthalmology, Fukuoka University School of Medicine, Fukuoka, Japan.
Shigeki OkamotoOkamoto Eye Clinic, Ehime, Japan.
Naoki KumagaiKumagai Eye Clinic, Yamaguchi, Japan.
Jun ShojiDepartment of Ophthalmology, Division of Visual Sciences, Nihon University School of Medicine, Tokyo, Japan.
Etsuko TakamuraDepartment of Ophthalmology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Yayoi NakagawaNakagawa Eye Clinic, Osaka, Japan.
Kenichi NambaDepartment of Ophthalmology and Visual Science, Hokkaido University Graduate School of Medicine, Hokkaido, Japan.
Hiroshi FujishimaDepartment of Ophthalmology, Tsurumi University Dental Hospital, Kanagawa, Japan.
Dai MiyazakiDepartment of Ophthalmology, Tottori University School of Medicine, Tottori, Japan.
Akebono Clinic · JPEhime University · JPFukuoka University · JPHokkaido University · JPJuntendo University · JPKochi Medical School Hospital · JPNihon University · JPNishi Eye Hospital · JPTokyo Women's Medical University · JPTottori University · JPTsurumi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to investigate the efficacy of topical 0.1% tacrolimus in treating refractory allergic conjunctivitis with proliferative lesions and/or corneal involvement.

methodsThis prospective observational study included 1436 patients with refractory allergic conjunctivitis whose condition had responded poorly to conventional antiallergic drugs and/or topical steroids and/or topical cyclosporine. All patients received tacrolimus eye drops twice daily during the study period. Ten clinical signs and six clinical symptoms were rated on a four-grade scale. The primary endpoint was the change from baseline in total clinical signs and symptoms score at the last observation or following 6 months of treatment.

resultsTotal signs and symptoms score significantly decreased after 1 month of treatment (p<0.001). Giant papillae and corneal lesions were also reduced by tacrolimus eye drop use (p<0.001). The drug proved effective in patients whose condition did not respond well to topical cyclosporine therapy. About 50% of all patients using topical steroids were weaned. The most common adverse reaction was a transient burning sensation (3.20%).

conclusionsTacrolimus eye drops are highly effective in treating refractory allergic conjunctivitis with proliferative lesions and/or corneal involvement, and may reduce or replace topical steroid use. TRIAL REGISTRATION NUMBER: UMIN 000008640.

Indexed as

AdolescentAdultChildConjunctivitis, AllergicCorneal DiseasesFemaleHumansImmunosuppressive AgentsMaleOphthalmic SolutionsProspective StudiesTacrolimusYoung AdultImmunosuppressive AgentsOphthalmic SolutionsTacrolimusConjunctivaDrugsImmunologyInflammationTreatment Medical

Identifiers

PMID24695688
PMCPMC4112440
OpenAlexW1981275525

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.