Evidence map›Paper›PMID 33536740›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2021

Effects of Intense Pulsed Light on Tear Film TGF-β and Microbiome in Ocular Rosacea with Dry Eye.

Samantha Sagaser, Richard Butterfield, Heidi Kosiorek, Yael Kusne, Juan Maldonado, Michael P Fautsch, Dharmendra Patel, Joanne F Shen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03194698 (Pilot Study to Examine Efficacy and Cytokines Levels After Meibomian Gland Expression), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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.

NCT03194698 nacompletednot on this map

Pilot Study to Examine Efficacy and Cytokines Levels After Meibomian Gland Expression (MGX) With and Without Intense Pulsed Light Treatment (IPL)

TypeinterventionalSponsorMayo ClinicRan2017 to 2018Enrolled20ConditionsOcular Rosacea, Dry EyeArmsIntense Pulsed Light Treatment (IPL), Meibomian Gland Expression
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Vision through Healthy Aging Eyes.Vision (Basel, Switzerland) · 2021
    Review
  8. Article
  9. Review
  10. Review
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

8 authors at 2 institutions in 1 country.

Samantha SagaserMayo Clinic Alix School of Medicine, Scottsdale, AZ, USA.ORCID 0000-0002-3317-8409
Richard ButterfieldResearch Biostatistics, Mayo Clinic, Scottsdale, AZ, USA.ORCID 0000-0001-6758-2875
Heidi KosiorekResearch Biostatistics, Mayo Clinic, Scottsdale, AZ, USA.
Yael KusneOphthalmology, Mayo Clinic, Scottsdale, AZ, USA.ORCID 0000-0002-7325-8454
Juan MaldonadoKnowledge Enterprise, Genomics Core, Arizona State University, Tempe, AZ, USA.ORCID 0000-0002-2322-9620
Michael P FautschOphthalmology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-9115-2485
Dharmendra PatelOphthalmology, Mayo Clinic, Scottsdale, AZ, USA.
Joanne F ShenOphthalmology, Mayo Clinic, Scottsdale, AZ, USA.ORCID 0000-0003-4607-4710
Mayo Clinic in Arizona · USArizona State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess tear film transforming growth factor-beta (TGF-β) and ocular microbiome changes after intense pulsed light with meibomian gland expression (IPL-MGX) vs only MGX in treating ocular rosacea with dry eye symptoms.

methodsTwenty patients were randomly assigned to IPL-MGX or MGX. Patients were examined, treated, and administered the ocular surface disease index (OSDI) survey every 4-6 weeks for four total treatments. Tear film and conjunctival samples were collected at first and last visits, and analyzed for TGF-β concentration and 16s rRNA amplicon sequencing of ocular microbiome. Wilcoxon Rank Sum and Sign-Rank were used to examine changes from baseline.

resultsOSDI revealed significantly greater improvement in symptoms after IPL-MGX (p=0.030) compared to MGX. There was no significant difference in mean TGF-β1, 2, or 3 concentration after IPL-MGX (p=0.385, 0.709, 0.948, respectively). Quantities of

conclusionIPL-MGX improved dry eye symptoms more than MGX alone. IPL treatment offered no additional benefit to MGX in decreasing virulent bacteria present on the ocular surface and did not influence TGF-β levels in tears. Prospective studies on IPL-MGX with larger sample sizes are needed to further investigate cytokines and IPL in patients suffering from ocular rosacea with dry eye symptoms. CLINICALTRIALSGOV IDENTIFIER: NCT03194698.

Indexed as

dry eye diseaseintense pulsed lightIPLmeibomian gland disordermeibomian gland expressionocular microbiomeocular rosaceaOSDI; ocular surface disease indextear cytokinesTGF-βtransforming growth factor-beta

Identifiers

PMID33536740
PMCPMC7850425
OpenAlexW3122887199

What OpenQuestion holds

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LicenceCC BY-NC
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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.