Evidence map›Paper›PMID 33590715›Full record

Trial reportActa ophthalmologica2021

Allogeneic and autologous serum eye drops: a pilot double-blind randomized crossover trial.

Pieter F van der Meer, Sanne K Verbakel, Áine Honohan, Jos Lorinser, Rogier M Thurlings, Joannes F M Jacobs, Dirk de Korte, Catharina A Eggink

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta ophthalmologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Serum Eye Drops: Implementation, Upscaling, and Patient-Centered Care - Insights from a Blood Bank in Western Austria.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  7. Blood Derivatives in the Therapy of Ocular Surface Diseases.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Autologous blood in the management of ocular surface disorders.World journal of experimental medicine · 2024
    Review
  10. Blood-Derived Eye Drops for the Treatment of Corneal Neuropathic Pain.Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics · 2024
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Therapeutic Hyper-CL soft contact lens in Sjögren's syndrome.American journal of ophthalmology case reports · 2022
    Article
  17. Article
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.

Pieter F van der MeerDepartment of Product and Process Development, Sanquin Blood Bank, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-2093-3604
Sanne K VerbakelDepartment of Ophthalmology, Radboud University Medical Center, Nijmegen, The Netherlands.
Áine HonohanDepartment of Clinical Transfusion Research, Sanquin Research, Leiden, The Netherlands.
Jos LorinserDepartment of Product and Process Development, Sanquin Blood Bank, Amsterdam, The Netherlands.
Rogier M ThurlingsDepartment of Rheumatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Joannes F M JacobsDepartment of Laboratory Medicine, Laboratory Medical Immunology, Radboud University Medical Center, Nijmegen, The Netherlands.
Dirk de KorteDepartment of Product and Process Development, Sanquin Blood Bank, Amsterdam, The Netherlands.
Catharina A EgginkDepartment of Ophthalmology, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLSanquin · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSerum eye drops (SEDs) are used to treat a variety of ocular surface defects. Serum eye drops (SEDs) are normally produced from the patient's blood. However, not all patients can donate sufficient or suitable blood, and logistics can be challenging. Allogeneic blood from voluntary blood donors does not have these disadvantages. Our aim was to evaluate whether autologous and allogeneic SEDs have comparable efficacy and tolerability.

methodsIn a prospective, double-blind crossover trial, patients with severe dry eyes were randomized to first receive autologous SEDs for one month, followed by one-month washout, before receiving allogeneic SEDs for 1 month; or receive the SED preparations in reverse order. The Ocular Surface Disease Index (OSDI) was the primary endpoint, and various secondary endpoints were determined. A linear mixed model with random intercept for each patient was applied per treatment group to compare the pre- and postoutcome measurements.

resultsNineteen patients were enrolled, of whom 15 completed the trial. When autologous SEDs were used, the mean ± SD OSDI improved from 62 ± 19 to 57 ± 18. For allogeneic SEDs, the OSDI changed from 59 ± 20 to 56 ± 23. The estimated mean difference (95% confidence interval) was -4.2 (-9.5 to 1.2) for autologous and -4.5 (-9.8 to 0.9) for allogeneic SEDs (both, not significant). Adverse events were mild and resolved completely.

conclusionAutologous and allogeneic SEDs have comparable efficacy and tolerability for use in patients with severe dry eyes. Allogeneic SEDs are therefore an attractive alternative for patients who need SEDs but are clinically or logistically unable to donate blood.

Indexed as

Blood DonorsSerumAgedCross-Over StudiesDouble-Blind MethodDry Eye SyndromesFemaleFollow-Up StudiesHumansMaleOphthalmic SolutionsPilot ProjectsProspective StudiesTransplantation, AutologousTransplantation, HomologousOphthalmic Solutionsallogeneicautologousserum eye dropssevere dry eye syndromeSjögren disease

Identifiers

PMID33590715
PMCPMC9544559
OpenAlexW3130583882

What OpenQuestion holds

Textmetadata
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.