Evidence map›Paper›PMID 31116166›Full record

Trial reportOptometry and vision science : official publication of the American Academy of Optometry2019

Impact of Dry Eye on Visual Acuity and Contrast Sensitivity: Dry Eye Assessment and Management Study.

Loretta B Szczotka-Flynn, Maureen G Maguire, Gui-Shuang Ying, Meng C Lin, Vatinee Y Bunya, Reza Dana, Penny A Asbell, Dry Eye Assessment and Management (DREAM) Study Research Group

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Optometry and vision science : official publication of the American Academy of Optometry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05713981 (The Impact of Dry Eye Syndrome on Novel Metrics of Low Contrast Vision Before and After Therapeutic Meibomian Gland Expression), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
6.4field-weighted citation impact, top 3% 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.

NCT05713981 nacompletednot on this mapstarted 2023, after this paper: background citation

The Impact of Dry Eye Syndrome on Novel Metrics of Low Contrast Vision Before and After Therapeutic Meibomian Gland Expression

TypeinterventionalSponsorUniversity of the Incarnate WordRan2023 to 2023Enrolled40ConditionsMeibomian Gland DysfunctionArmsMeibomian gland (MG) expression
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 71 citations in OpenAlex.

  1. Review
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  13. Impact of TearCare on Reading Speed in Patients with Dry Eye Disease.Clinical ophthalmology (Auckland, N.Z.) · 2024
    Article
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  16. Animal Models in Eye Research: Focus on Corneal Pathologies.International journal of molecular sciences · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Loretta B Szczotka-FlynnDepartment of Ophthalmology and Visual Sciences, Case Western Reserve University, and University Hospitals of Cleveland Eye Institute, Cleveland, Ohio.
Maureen G Maguire
Gui-Shuang YingDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania.
Meng C LinSchool of Optometry, University of California, Berkeley, Berkeley, California.
Vatinee Y BunyaDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania.
Reza DanaDepartment of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Cambridge, Massachusetts.
Penny A AsbellDepartment of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee *maguirem@pennmedicine.upenn.edu.
Dry Eye Assessment and Management (DREAM) Study Research Group
University of Pennsylvania · USDuPont (United States) · USJohn Tracy Clinic · USMassachusetts Eye and Ear Infirmary · USUniversity of California, Berkeley · USUniversity of Tennessee Health Science Center · US

Funding

The Dry Eye Evaluation And Management (DREAM) Study: Coordinating CenterU10EY022879 · NEI · UNIVERSITY OF PENNSYLVANIA · PI MAGUIRE, MAUREEN G · 2013 to 2018
$7.3M
Dry Eye Evaluation and Management (DREAM) StudyU10EY022881 · NEI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI ASBELL, PENNY · 2013 to 2020
$2.2M
NEI NIH HHS U10 EY022879NEI NIH HHS U10 EY022881
6 · The paper itself

Abstract

significanceIdentification of the association of specific signs of dry eye disease with specific visual function deficits may allow for more targeted approaches to treatment. PURPOSE: The purpose of this study was to explore the association of dry eye signs and symptoms with visual acuity (VA) and contrast sensitivity in the Dry Eye Assessment and Management study.

methodsBaseline data from participants in the Dry Eye Assessment and Management study were used in this secondary cross-sectional analysis. Standardized procedures were used to obtain results on the Ocular Surface Disease Index (OSDI), high-contrast logMAR VA, contrast sensitivity, tear film debris, tear breakup time (TBUT), corneal fluorescein staining, meibomian gland evaluation, conjunctival lissamine green staining, and Schirmer test scores. Generalized linear models that included age, refractive error status, and cataract status were used to assess the association between VA and contrast sensitivity with OSDI score and each dry eye sign. The Hochberg procedure was used to account for multiple comparisons.

resultsAmong 487 participants (974 eyes), worse VA was associated with worse mean score on the OSDI vision subscale (39.4 for VA 20/32 or worse vs. 32.4 for VA 20/16 or better; adjusted linear trend, P = .02); scores were not associated with contrast sensitivity. Severe meibomian gland plugging and abnormal secretions were associated with worse mean log contrast sensitivity (1.48 for severe vs. 1.54 for not plugged [P = .04] and 1.49 for obstructed vs. 1.57 for clear [P = .002], respectively). Longer TBUT was associated with better mean log contrast sensitivity (1.57 for TBUT >5 seconds and 1.51 for TBUT ≤2 seconds, P < .0001).

conclusionsWorse VA rather than worse contrast sensitivity drives vision-related symptoms in dry eye. Greater tear film instability was associated with worse contrast sensitivity.

Indexed as

AdultAgedContrast SensitivityCross-Sectional StudiesDocosahexaenoic AcidsDouble-Blind MethodDrug CombinationsDry Eye SyndromesEicosapentaenoic AcidFemaleHumansMaleMeibomian GlandsMiddle AgedTearsVisual AcuityDocosahexaenoic AcidsDrug CombinationsEicosapentaenoic Acid

Identifiers

PMID31116166
PMCPMC6544497
OpenAlexW2945244134

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.