Evidence map›Paper›PMID 25868759›Full record

Trial reportAmerican journal of ophthalmology2015

Effects of Dry Eye Therapies on Environmentally Induced Ocular Surface Disease.

Quianta L Moore, Cintia S De Paiva, Stephen C Pflugfelder

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in American journal of ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
9.9field-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.

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

22 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Inflammatory basis for dry eye disease flares.Experimental eye research · 2020
    Review
  9. The cornea in keratoconjunctivitis sicca.Experimental eye research · 2020
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. What We Have Learned From Animal Models of Dry Eye.International ophthalmology clinics · 2017
    Article
  18. Article
  19. Article
  20. Sjögren syndrome: what and where are we looking for?Current opinion in ophthalmology · 2015
    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

3 authors at 2 institutions in 1 country.

Quianta L MooreDepartment of Ophthalmology, Ocular Surface Center, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas.
Cintia S De PaivaDepartment of Ophthalmology, Ocular Surface Center, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas.
Stephen C PflugfelderDepartment of Ophthalmology, Ocular Surface Center, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas. Electronic address: stevenp@bcm.edu.
Ocular Surface Center · USBaylor College of Medicine · US

Funding

VISION RESEARCH CENTERP30EY002520 · NEI · BAYLOR COLLEGE OF MEDICINE · PI Samuel M Wu · 1985 to 2026
$14.8M
PATHOGENESIS OF CONJUNCTIVAL SQUAMOUS METAPLASIAR01EY011915 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PFLUGFELDER, STEPHEN C · 1997 to 2023
$8.0M
NEI NIH HHS EY-002520NEI NIH HHS EY11915NEI NIH HHS P30 EY002520NEI NIH HHS R01 EY011915
6 · The paper itself

Abstract

purposeTo evaluate the effectiveness of artificial tears and corticosteroids on mitigating the acute ocular surface response to low-humidity environments.

designSingle-group, crossover clinical trial.

methodsTwenty subjects with aqueous deficient dry eye were enrolled. Subjects meeting inclusion criteria at visit 1 were exposed to a baseline 90-minute low-humidity environment at visit 2. They then used artificial tears for 2 weeks prior to low-humidity exposure at visit 3, followed by 0.1% dexamethasone for 2 weeks prior to the final low-humidity exposure at visit 4. Outcome measures included corneal and conjunctival staining, blink rate, and irritation symptoms before and after each low-humidity exposure. Digital polymerase chain reaction (PCR) was performed to measure HLA-DR RNA transcripts in conjunctival cells taken by impression cytology at each visit.

resultsThere was significantly less corneal and conjunctival epitheliopathy after the low-humidity exposure at visit 4 compared to after the low-humidity exposure at visit 3 (P = .003). Subjects reported significantly less eye irritation during the low-humidity exposure after using the dexamethasone (visit 4) compared to artificial tears (visit 3) (P = .01). HLA-DR transcripts significantly decreased after the stress at visit 4 (post dexamethasone) compared to visit 2.

conclusionOur study demonstrates that corticosteroid eye drops mitigate the acute adverse effects of an experimental low-humidity challenge, likely owing to suppression of stress-activated inflammatory pathways. While extended use of corticosteroids is not indicated, other anti-inflammatory therapies with activity against stress-activated pathways may prove as effective.

Indexed as

Environment, ControlledAdministration, TopicalAdultBlinkingConjunctivaCross-Over StudiesDexamethasoneDry Eye SyndromesFemaleGlucocorticoidsHLA-DR AntigensHumansHumidityLubricant Eye DropsMaleOphthalmic SolutionsDexamethasoneGlucocorticoidsHLA-DR AntigensLubricant Eye DropsOphthalmic SolutionsRNA

Identifiers

PMID25868759
PMCPMC4464943
OpenAlexW2060772614

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.