Evidence map›Paper›PMID 26823393›Full record

Trial reportThe British journal of ophthalmology2016

Long-term outcome after topical ciclosporin in severe dry eye disease with a 10-year follow-up.

Morgane Straub, Alain M Bron, Aurore Muselier-Mathieu, Catherine Creuzot-Garcher

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in The British journal of ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Review
  10. [Novel current and future therapy options for treatment of dry eye disease].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2018
    Review
  11. 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

4 authors at 3 institutions in 1 country.

Morgane StraubDepartment of Ophthalmology, University Hospital, Lyon Sud, France.
Alain M BronDepartment of Ophthalmology, University Hospital, Dijon, France.
Aurore Muselier-MathieuDepartment of Ophthalmology, University Hospital, Dijon, France.
Catherine Creuzot-GarcherDepartment of Ophthalmology, University Hospital, Dijon, France.
Centre Hospitalier Universitaire Dijon Bourgogne · FRHôpital Lyon Sud · FRMaison des Sciences de l’Homme de Dijon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo report a 10-year follow-up of patients suffering from severe dry eye syndrome (DES) initially treated with topical ciclosporin A (tCSA) for 6 months.

methodsThe charts of 26 patients with severe DES related to keratoconjunctivitis sicca (KCS) and followed for a minimum 10-year follow-up were retrospectively reviewed. All of them were treated initially with tCSA for 6 months. The Schirmer I test, fluorescein and lissamine green staining scores and tear film break-up time (TBUT) were recorded to assess clinical symptoms before, during and after treatment. The subjective signs were evaluated with the ocular surface disease index (OSDI) questionnaire. Prolongation and reintroduction of tCSA after the initial treatment and combined treatments were also noted.

resultsOverall the median (IQR) duration of tCSA treatment was 23 (7-51) months after a prolonged induction treatment lasting 20 (8-41) months during the 10-year follow-up. For symptoms, a statistically significant difference in the OSDI between baseline and the end of the 10-year follow-up was not found (p=0.67). We noted a statistically significant improvement in all clinical signs after the initial treatment period, still present at the end of follow-up. Only 6.5% of the patients needed reintroduction of tCSA after their prolonged induction treatment.

conclusionsThe improvement observed after an initial tCSA treatment was sustained after a long-term follow-up with few cases requiring additional tCSA treatment. A prolonged induction treatment to decrease initial inflammatory local signs is a promising option in KCS.

Indexed as

ForecastingAgedCorneaCyclosporineDose-Response Relationship, DrugDry Eye SyndromesFemaleFollow-Up StudiesHumansImmunosuppressive AgentsMaleMicroscopy, AcousticMiddle AgedOphthalmic SolutionsRetrospective StudiesSeverity of Illness IndexCyclosporineImmunosuppressive AgentsOphthalmic SolutionsInflammationOcular surfaceTears

Identifiers

PMID26823393
PMCPMC5136692
OpenAlexW2311573829

What OpenQuestion holds

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LicenceCC BY-NC
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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.