Evidence map›Paper›PMID 30685437›Full record

ArticleThe ocular surface2019

Efficacy of autologous serum tears for treatment of neuropathic corneal pain.

Shruti Aggarwal, Clara Colon, Ahmad Kheirkhah, Pedram Hamrah

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The ocular surface, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07566806 (Evaluation of the Clinical Efficacy and Mechanisms of Cord Plasma Eye Drops in the Treatment of Neuropathic Corneal Pain), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
9.5field-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.

NCT07566806 narecruitingnot on this mapstarted 2023, after this paper: background citation

Evaluation of the Clinical Efficacy and Mechanisms of Cord Plasma Eye Drops in the Treatment of Neuropathic Corneal Pain

TypeinterventionalSponsorSingapore Eye Research InstituteRan2023 to 2027Enrolled20ConditionsNeuropathic Pain, Corneal DiseaseArmsCord plasma eye drops
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
  4. Article
  5. A Scoping Review of Pharmacologic and Nonpharmacologic Interventions to Treat Chronic Ocular Pain.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2026
    Article
  6. Article
  7. Review
  8. Corneal nerve regeneration and ocular surface restoration following treatment with autologous serum eye drops in patients with paralytic lagophthalmos and neurotrophic keratitis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Autologous blood in the management of ocular surface disorders.World journal of experimental medicine · 2024
    Review
  19. 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

4 authors at 2 institutions in 1 country.

Shruti AggarwalOcular Surface Imaging Center, Cornea and Refractive Surgery Service, Massachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
Clara ColonOcular Surface Imaging Center, Cornea and Refractive Surgery Service, Massachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
Ahmad KheirkhahOcular Surface Imaging Center, Cornea and Refractive Surgery Service, Massachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
Pedram HamrahOcular Surface Imaging Center, Cornea and Refractive Surgery Service, Massachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA; Cornea Service, New England Eye Center, Center for Translational Ocular Immunology, Department of Ophthalmology, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA. Electronic address: p_hamrah@yahoo.com.
Massachusetts Eye and Ear Infirmary · USTufts University · US

Funding

Mechanisms of Corneal Neuro-Immune CrosstalkR01EY029602 · NEI · UNIVERSITY OF SOUTH FLORIDA · PI Pedram Hamrah · 2018 to 2026
$3.6M
Immunobiology of Corneal Antigen-Presenting CellsK08EY020575 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI HAMRAH, PEDRAM · 2010 to 2013
$914k
NEI NIH HHS K08 EY020575NEI NIH HHS R01 EY029602
6 · The paper itself

Abstract

objectiveCorneal nerve damage may result in neuropathic corneal pain (NCP). Autologous serum tears (AST) have been shown to results in nerve regeneration and may help alleviate corneal pain. This study aimed to evaluate the efficacy of AST in the treatment of NCP.

methodsThis was a retrospective case-control study. Sixteen patients suffering from severe NCP and no current ocular surface disease were compared to 12 controls. In vivo confocal microscopy (IVCM) (HRT3/RCM; Heidelberg Engineering GmbH, Germany) of the central corneas was performed bilaterally. Change in pain severity (scale of 0-10), corneal nerve density, tortuosity, reflectivity and presence of beading and micro-neuromas before and after treatment were recorded.

resultsAll patients had severe pain, with a mean of 9.1 ± 0.2 (range 8-10). Subbasal nerves were significantly decreased before treatment as compared to controls, including total nerve length (10,935.5 ± 1264.3 vs. 24,714.4 ± 1056.2 μm/mm

conclusionIVCM demonstrates underlying alterations of the subbasal corneal nerve plexus in patients suffering from debilitating NCP. AST-induced nerve regeneration is seen following treatment with AST, which correlates with improvement in patient symptoms of NCP.

Indexed as

PlasmaAdultAgedCase-Control StudiesCorneaEye PainFemaleHumansMaleMicroscopy, ConfocalMiddle AgedNerve FibersNeuralgiaOphthalmic NerveOphthalmic SolutionsPain ManagementOphthalmic SolutionsAutologous serum tearsCorneal allodyniaCorneal nerve regenerationCorneal neuropathic painIn vivo confocal microscopy

Identifiers

PMID30685437
PMCPMC6956846
OpenAlexW2913314829

What OpenQuestion holds

Textmetadata
LicenceTDM
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.