Evidence map›Paper›PMID 27994437›Full record

ReviewClinical ophthalmology (Auckland, N.Z.)2016

Systemic side effects of eye drops: a pharmacokinetic perspective.

Andre Farkouh, Peter Frigo, Martin Czejka

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinical ophthalmology (Auckland, N.Z.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06498440 (Comparative Efficacy of NSAID and Steroid-NSAID Combination Following Selective Laser Trabeculoplasty), which is not on this map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing 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.

NCT06498440 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

Comparative Efficacy of NSAID and Steroid-NSAID Combination Following Selective Laser Trabeculoplasty: a Phase 4, Single-centre, Randomized Controlled Trial

TypeinterventionalSponsorSt. Joseph's Healthcare HamiltonRan2024 to 2025Enrolled126ConditionsOpen Angle Glaucoma, Ocular Hypertension, Postoperative InflammationArmsKetorolac 0.5% Eye Drops, Ketorolac 0.5% and Fluorometholone 0.1% Eye Drops
3 · Its place in the literature

Who cites it

105 citing papers in PubMed.

  1. Trial
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  5. Soft drugs: design principles and topical applications.Nature reviews. Drug discovery · 2026
    Review
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  19. Topical pyridostigmine for ocular myasthenia gravis: a translational hypothesis.Medical hypothesis, discovery & innovation ophthalmology journal · 2026
    Article
  20. Article

45 more citing papers are in PubMed but not listed here.

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.

Andre FarkouhDivision of Clinical Pharmacy and Diagnostics, Faculty of Life Sciences, University of Vienna.
Peter FrigoDepartment of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna.
Martin CzejkaDivision of Clinical Pharmacy and Diagnostics, Faculty of Life Sciences, University of Vienna; Austrian Society of Applied Pharmacokinetics, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

When administering eye drops, even when completely correctly applied, several routes of absorption are possible and excess amounts can sometimes cause an unwanted systemic bioavailability of the drops when not completely absorbed into the eye. Furthermore, the concentration of active ingredients in such medicinal preparations is usually very high, so that despite the correct application of the recommended dose, considerable amounts may be absorbed in an unwanted manner through various routes. Children are subject to a much higher risk of systemic side effects because ocular dosing is not weight adjusted and physiological development (eg, liver status) differs from that of adults. There is a lack of information about pediatric dosing in the current literature. This review summarizes the most important clinically relevant systemic side effects that may occur during ophthalmic eye treatments. In this review, we discuss general pharmacokinetic considerations as well as the advantages, disadvantages, and consequences of administering drugs from some important drug groups to the eye.

Indexed as

childrenCYPdosingpharmacodynamics

Identifiers

PMID27994437
PMCPMC5153265

What OpenQuestion holds

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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.