Evidence map›Paper›PMID 33504973›Full record

ArticleEye (London, England)2021

Dupilumab-associated ocular surface disease: presentation, management and long-term sequelae.

Magdalena Z Popiela, Ramez Barbara, Andrew M J Turnbull, Emma Corden, Beatriz Suarez Martinez-Falero, Daniel O'Driscoll, Michael R Ardern-Jones, Parwez N Hossain

Open access · hybridAbstract read
In one paragraph

Article in Eye (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
12.1field-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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Emerging concepts in atopic dermatitis and atopic keratoconjunctivitis.Current opinion in allergy and clinical immunology · 2025
    Review
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Canalicular obstruction associated with dupilumab.International ophthalmology · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Magdalena Z PopielaEye Unit, Southampton General Hospital, Southampton, UK.
Ramez BarbaraEye Unit, Southampton General Hospital, Southampton, UK.
Andrew M J TurnbullEye Unit, Southampton General Hospital, Southampton, UK.ORCID http://orcid.org/0000-0001-5428-1010
Emma CordenEye Unit, Southampton General Hospital, Southampton, UK.
Beatriz Suarez Martinez-FaleroEye Unit, Southampton General Hospital, Southampton, UK.
Daniel O'DriscollEye Unit, Southampton General Hospital, Southampton, UK.
Michael R Ardern-JonesEye Unit, Southampton General Hospital, Southampton, UK.ORCID http://orcid.org/0000-0003-1466-2016
Parwez N HossainEye Unit, Southampton General Hospital, Southampton, UK. parwez@soton.ac.uk.ORCID http://orcid.org/0000-0002-3131-2395
Southampton General Hospital · GBRoyal Bournemouth Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the presenting features of ocular surface disease in patients with atopic dermatitis (AD) treated with dupilumab at a tertiary, university hospital. To establish the need for treatment of dupilumab-associated ocular surface disease and report any long-term effects on the ocular surface.

methodsA retrospective analysis of consecutive patients treated with dupilumab for AD between January 2017 and August 2019 was undertaken. Data were collected on demographics, incidence and type of ocular disease features, natural history and treatment.

resultsA total of 50% (14/28) patients developed ocular symptoms with a mean time of onset of 6.75 (±6.1) weeks from starting dupilumab. Of these, 69% (9/13) were diagnosed with conjunctivitis associated with cicatrisation in two patients and periorbital skin changes in four. Of these nine, four had prior history of atopic keratoconjunctivitis. All were treated with topical steroids; two required additional ciclosporin drops. In all, 67% (6/9) patients went on to have on-going ocular inflammation requiring maintenance drops at a mean of 16 (±6.9) months of follow-up. All patients had improvement in their AD severity; only one patient discontinued dupilumab due to ocular side effects.

conclusionThe rate of dupilumab-associated ocular surface disease was 32%. Periorbital skin changes and conjunctival cicatrisation were noted in association with conjunctivitis. Ocular surface disease improved on topical steroids and ciclosporin but 67% of patients needed on-going treatment. Close liaison with an ophthalmologist should be considered in those patients who develop conjunctivitis or have a past history of severe ocular surface disease.

Indexed as

ConjunctivitisDermatitis, AtopicEye DiseasesAntibodies, Monoclonal, HumanizedCyclosporineDisease ProgressionHumansRetrospective StudiesSeverity of Illness IndexTreatment OutcomeAntibodies, Monoclonal, HumanizedCyclosporinedupilumab

Identifiers

PMID33504973
PMCPMC8602420
OpenAlexW3124945091

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.