Evidence map›Paper›PMID 33687999›Full record

ArticleThe British journal of ophthalmology2022

Real-world experience of using ciclosporin-A 0.1% in the management of ocular surface inflammatory diseases.

Rashmi Deshmukh, Darren Shu Jeng Ting, Ahmad Elsahn, Imran Mohammed, Dalia G Said, Harminder Singh Dua

Open access · hybridAbstract read
In one paragraph

Article in The British journal of ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Diagnostic methods for managing dry eyes.World journal of methodology · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Challenges and advances in ocular mucous membrane pemphigoid (OMMP); from pathogenesis to treatment strategies.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Real-world insights and outcomes related to ciclosporin A 0.1% cationic emulsion for the long-term treatment of dry eye disease in Germany: Country-level sub-analysis of the PERSPECTIVE study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Observational
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  20. 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

6 authors at 2 institutions in 1 country.

Rashmi Deshmukh *Ophthalmology, Nottingham University Hospitals NHS Trust, Nottingham, Nottinghamshire, UK.ORCID 0000-0001-9614-951X
Darren Shu Jeng Ting *Ophthalmology, Nottingham University Hospitals NHS Trust, Nottingham, Nottinghamshire, UK.
Ahmad ElsahnOphthalmology, Nottingham University Hospitals NHS Trust, Nottingham, Nottinghamshire, UK.
Imran MohammedAcademic Ophthalmology, Division of Clinical Neurosciences, University of Nottingham, Nottingham, Nottinghamshire, UK.ORCID 0000-0002-8412-0768
Dalia G SaidOphthalmology, Nottingham University Hospitals NHS Trust, Nottingham, Nottinghamshire, UK.
Harminder Singh DuaOphthalmology, Nottingham University Hospitals NHS Trust, Nottingham, Nottinghamshire, UK harminder.dua@nottingham.ac.uk.ORCID 0000-0002-4683-6917
Nottingham University Hospitals NHS Trust · GBUniversity of Nottingham · GB

Funding

Medical Research Council MR/T001674/1
6 · The paper itself

Abstract

purposeTo report the real-world experience of using topical ciclosporin, Ikervis, in the management of ocular surface inflammatory diseases (OSIDs).

methodsThis was a retrospective study of patients treated with Ikervis for OSIDs at the Queen's Medical Centre, Nottingham, between 2016 and 2019. Relevant data, including demographics, indications, clinical parameters, outcomes and adverse events, were collected and analysed for patients who had completed at least 6 months follow-up. For analytic purpose, clinical outcome was categorised as 'successful' (resolved or stable disease), 'active disease' and 'drug intolerance'.

results463 patients were included; mean age was 51.1±21.6 years, with a 59.0% female predominance. Mean follow-up was 14.6±9.2 months. The most common diagnosis was dry eye disease (DED; 322, 69.5%), followed by allergic eye disease (AED; 53, 11.4%) and ocular mucous membrane pemphigoid/Steven-Johnson syndrome (OMMP/SJS; 38, 8.2%). Successful treatment was achieved in 343 (74.1%) patients, with 44 (9.5%) requiring additional treatment and 76 (16.4%) reporting drug intolerance. The efficacy of Ikervis was highest in DED (264, 82.0%), followed by OMMP/SJS (25, 65.8%) and post-keratoplasty (7, 50.0%; p<0.001). Logistic regression analysis demonstrated age <70 years (p=0.007), AED (p=0.002) and OMMP/SJS (p=0.001) as significant predictive factors for Ikervis intolerance. AED and post-keratoplasty were 8.16 times (95% CI, 2.78 to 23.99) and 13.98 times (95% CI, 4.22 to 46.28), respectively, more likely to require additional treatment compared with DED.

conclusionsIkervis is a useful steroid-sparing topical treatment for managing OSIDs in the real-world setting. Preparations with improved tolerability are needed to benefit a larger number of patients.

Indexed as

Dry Eye SyndromesPemphigoid, Benign Mucous MembraneStevens-Johnson SyndromeAdultAgedCyclosporineFemaleHumansMaleMiddle AgedRetrospective StudiesCyclosporineconjunctivacorneadrugsinflammation

Identifiers

PMID33687999
PMCPMC9340021
OpenAlexW3135648008

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.