Evidence map›Paper›PMID 28814146›Full record

ReviewMolecular pain

Evidence that Dry Eye Represents a Chronic Overlapping Pain Condition.

Alexandra E Levitt, Anat Galor, Aneesa R Chowdhury, Elizabeth R Felix, Constantinos D Sarantopoulos, Gerald Y Zhuang, Dennis Patin, William Maixner, Shad B Smith, Eden R Martin and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Molecular pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  6. Review
  7. Review
  8. Article
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  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Comprehensive Review and Update of Burning Eye Syndrome.Journal of patient-centered research and reviews · 2021
    Review
  17. Review
  18. Review
  19. Gabapentin for presumed neuropathic ocular pain.American journal of ophthalmology case reports · 2020
    Article
  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

11 authors at 4 institutions in 1 country.

Alexandra E LevittBascom Palmer Eye Institute, University of Miami, Miami, FL.
Anat GalorMiami Veterans Administration Medical Center, Miami, FL.
Aneesa R ChowdhuryDepartment of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami, Miller School of Medicine, Miami, FL.
Elizabeth R FelixMiami Veterans Administration Medical Center, Miami, FL.
Constantinos D SarantopoulosBascom Palmer Eye Institute, University of Miami, Miami, FL.
Gerald Y ZhuangDepartment of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami, Miller School of Medicine, Miami, FL.
Dennis PatinDepartment of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami, Miller School of Medicine, Miami, FL.
William MaixnerDuke University, Durham, NC.
Shad B SmithDuke University, Durham, NC.
Eden R MartinJohn P. Hussman Institute for Human Genomics, University of Miami, Miller School of Medicine, Miami, FL 7John T. Macdonald Foundation.
Roy C Levitt
University of Miami · USDuke University · USDr. John T. Macdonald Foundation · USMiami VA Healthcare System · US

Funding

Shared Equipment ModuleP30EY014801 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Abigail S Hackam · 2004 to 2026
$12.2M
CA8 Variants: New Mechanisms Underlying Transitions to Persistent Pain SyndromesR01DE022903 · NIDCR · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LEVITT, ROY C., MARTIN, EDEN R. · 2012 to 2016
$2.5M
Dry Eye and MicroenvironmentR01EY026174 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GALOR, ANAT, KUMAR, NARESH · 2016 to 2020
$1.9M
NEUROPATHIC PAIN: A CRITICAL MISSING PIECE IN DRY EYE?I01CX001089 · VA · MIAMI VA HEALTH CARE SYSTEM · PI GALOR, ANAT · 2016 to 2019
–
CSRD VA I01 CX001089NEI NIH HHS P30 EY014801NEI NIH HHS R01 EY026174NIDCR NIH HHS R01 DE022903
6 · The paper itself

Abstract

Abstract: Recent data suggest that corneal somatosensory dysfunction may be the underlying cause of severe dry eye symptoms in the absence of ocular surface pathology seen in a subset of patients diagnosed with “dry eye syndrome.” This subset of patients tends to demonstrate a unique constellation of symptoms that are persistent, more severe, and generally respond poorly to current dry eye therapies targeting inadequate or dysfunctional tears. A growing body of literature suggests that symptoms in these patients may be better characterized as neuropathic ocular pain rather than dry eye. In these patients, dry eye symptoms are often associated with numerous comorbid pain conditions and evidence of central pain processing abnormalities, where eye pain is just one of multiple overlapping peripheral manifestations. In this review, we discuss the concept and potential mechanisms of chronic overlapping pain conditions as well as evidence for considering neuropathic ocular pain as one of these overlapping pain conditions.

Indexed as

AnimalsChronic DiseaseChronic PainCorneaDry Eye SyndromesEye PainHumansNeuralgiaPain Measurement

Identifiers

PMID28814146
PMCPMC5584655
OpenAlexW2748672351

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.