Evidence map›Paper›PMID 33291796›Full record

ReviewInternational journal of molecular sciences2020

Defining Dry Eye from a Clinical Perspective.

Kazuo Tsubota, Stephen C Pflugfelder, Zuguo Liu, Christophe Baudouin, Hyo Myung Kim, Elisabeth M Messmer, Friedrich Kruse, Lingyi Liang, Jimena Tatiana Carreno-Galeano, Maurizio Rolando and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 140 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed, 3 pooled it
21.4field-weighted citation impact, top 1% 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

140 citing papers in PubMed, 3 syntheses or guidelines pooled it, 263 citations in OpenAlex.

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  5. Pooled results from two pivotal randomized controlled clinical trials: ESSENCE-1 and ESSENCE-2 to assess efficacy and safety of a water-free ciclosporin 0.1% formulation for the treatment of dry eye disease.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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80 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

13 authors at 10 institutions in 6 countries.

Kazuo TsubotaDepartment of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.ORCID 0000-0002-8874-7111
Stephen C PflugfelderDepartment of Ophthalmology, Baylor College of Medicine, Houston, TX 77030, USA.
Zuguo LiuEye Institute of Xiamen University, Xiamen 361102, China.
Christophe BaudouinDepartment of Ophthalmology, Quinze-Vingts Hospital, 75012 Paris, France.ORCID 0000-0003-1743-6698
Hyo Myung KimKorea University Medical Center, Anam Hospital, Seoul 02841, Korea.
Elisabeth M MessmerDepartment of Ophthalmology, Ludwig Maximilian University, 80539 Munich, Germany.
Friedrich KruseDepartment of Ophthalmology, University of Erlangen-Nuremberg, 91054 Erlangen, Germany.
Lingyi LiangZhongshan Ophthalmic Center, Guangzhou 510060, China.ORCID 0000-0003-2971-4827
Jimena Tatiana Carreno-GaleanoCornea & Refractive Surgery, Massachusetts Eye & Ear, Boston, MA 02114, USA.
Maurizio RolandoISPRE OPHTHALMICS (Instituto di Medicina Oftalmica), 16129 Genoa, Italy.ORCID 0000-0002-4982-1462
Norihiko YokoiDepartment of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan.
Shigeru KinoshitaDepartment of Frontier Medical Science and Technology for Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan.
Reza DanaCornea & Refractive Surgery, Massachusetts Eye & Ear, Boston, MA 02114, USA.
Kyoto Prefectural University of Medicine · JPMassachusetts Eye and Ear Infirmary · USBaylor College of Medicine · USCentre hospitalier national d'ophtalmologie des Quinze-Vingts · FRFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKeio University · JPKorea University Medical Center · KRLudwig-Maximilians-Universität München · DEXiamen University · CNZhongshan Ophthalmic Center, Sun Yat-sen University

Funding

Asia Dry Eye Society not applicableGrants-in-Aid for scientific research from the Japanese Ministry of Education, Culture, Sports, Science and Technology 16K11269
6 · The paper itself

Abstract

Over the past decades, the number of patients with dry eye disease (DED) has increased dramatically. The incidence of DED is higher in Asia than in Europe and North America, suggesting the involvement of cultural or racial factors in DED etiology. Although many definitions of DED have been used, discrepancies exist between the various definitions of dry eye disease (DED) used across the globe. This article presents a clinical consensus on the definition of DED, as formulated in four meetings with global DED experts. The proposed new definition is as follows: "Dry eye is a multifactorial disease characterized by a persistently unstable and/or deficient tear film (TF) causing discomfort and/or visual impairment, accompanied by variable degrees of ocular surface epitheliopathy, inflammation and neurosensory abnormalities." The key criteria for the diagnosis of DED are unstable TF, inflammation, ocular discomfort and visual impairment. This definition also recommends the assessment of ocular surface epitheliopathy and neurosensory abnormalities in each patient with suspected DED. It is easily applicable in clinical practice and should help practitioners diagnose DED consistently. This consensus definition of DED should also help to guide research and clinical trials that, to date, have been hampered by the lack of an established surrogate endpoint.

Indexed as

Disease SusceptibilityAnimalsBiomarkersDisease ManagementDry Eye SyndromesHumansInflammationSymptom AssessmentTearsVision DisordersBiomarkerscorneal epitheliopathydefinitiondry eyedry eye signsdry eye symptomsinflammationneuropathic paintear film breakup

Identifiers

PMID33291796
PMCPMC7730816
OpenAlexW3106908696

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.