Evidence map›Paper›PMID 31778446›Full record

Trial reportArquivos brasileiros de oftalmologia

Ocular surface changes in the treatment of rosacea: comparison between low-dose oral isotretinoin and doxycycline.

Fabio Mendonça Xavier Andrade, Fabiola Rosa Picosse, Laura Pires da Cunha, Camila Maia Valente, Fernanda Machado Bezerra, Helio Miot, Edileia Bagatin, Denise de Freitas

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arquivos brasileiros de oftalmologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Low-dose isotretinoin for the management of rosacea: A systematic review and meta-analysis.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. A warning against associating doxycycline with isotretinoin.Arquivos brasileiros de oftalmologia · 2020
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Fabio Mendonça Xavier AndradeDepartment of Ophthalmology and Visual Sciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-5184-3388
Fabiola Rosa PicosseDepartment of Dermatology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Laura Pires da CunhaDepartment of Ophthalmology and Visual Sciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Camila Maia ValenteDepartment of Ophthalmology and Visual Sciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Fernanda Machado BezerraDepartment of Ophthalmology and Visual Sciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-4655-2594
Helio MiotDepartment of Dermatology, Universidade Estadual Paulista "Julio de Mesquita Filho", São Paulo, SP, Brazil.
Edileia BagatinDepartment of Dermatology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Denise de FreitasDepartment of Ophthalmology and Visual Sciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the impact of ocular changes between systemic treatment with doxycycline and low-dose oral isotretinoin in patients with moderate-to-severe papulopustular rosacea.

methodsPatients were randomized to receive either isotretinoin 0.3-0.4 mg/kg (group A) or doxycycline 100 mg/day (group B) for 16 weeks. Ocular symptoms were searched and evaluated, including best-corrected visual acuity (BCVA), Schirmer test, breakup time, rose bengal staining score, and meibomian gland dysfunction grading. The patients were retested at the end of treatment.

resultsThe present study included 39 patients (30 females and 9 males). Best-corrected visual acuity was > 20/30 in >90% of patients in both groups and did not change after treatment. After treatment, improvement in ocular symptoms and meibomian gland dysfunction was more pronounced in group B (p<0.05); the other parameters did not reach statistical significance.

conclusionDoxycycline improved meibomian gland dysfunction, ocular symptoms, and ocular surface in patients with rosacea. Even though some patients experienced worsening meibomian gland dysfunction and symptoms, no subject experienced any serious complications after administration of low-dose isotretinoin.

Indexed as

Administration, OralAdultAgedAnti-Bacterial AgentsDermatologic AgentsDoxycyclineEyeFemaleHumansIsotretinoinMaleMeibomian Gland DysfunctionMeibomian GlandsMiddle AgedRosaceaSeverity of Illness IndexAnti-Bacterial AgentsDermatologic AgentsDoxycyclineIsotretinoin

Identifiers

PMID31778446
PMCPMC11826729
OpenAlexW2996201930

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.