Evidence map›Paper›PMID 34198684›Full record

ReviewJournal of clinical medicine2021

Sex Hormones Related Ocular Dryness in Breast Cancer Women.

Antonella Grasso, Antonio Di Zazzo, Giuseppe Giannaccare, Jaemyoung Sung, Takenori Inomata, Kendrick Co Shih, Alessandra Micera, Daniele Gaudenzi, Sara Spelta, Maria Angela Romeo and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.9field-weighted citation impact, top 9% 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, 26 citations in OpenAlex.

  1. Unveiling dry eye disease prior to cataract surgery: A multicenter clinical study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Sex Differences in the Lacrimal Gland: Implications for Dry Eye Disease.International journal of molecular sciences · 2025
    Review
  10. How Eyelid Changes May Impact on Tears.Journal of clinical medicine · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Dry eye and systemic diseases.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    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

13 authors at 6 institutions in 3 countries.

Antonella GrassoBreast Unit, University Campus Bio-Medico, 00128 Rome, Italy.
Antonio Di ZazzoOphthalmology Operative Complex Unit, University Campus Bio-Medico, 00128 Rome, Italy.ORCID 0000-0002-5264-5973
Giuseppe GiannaccareDepartment of Ophthalmology, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0003-2617-0289
Jaemyoung SungDepartment of Ophthalmology, School of Medicine, Juntendo University, 1130033 Tokyo, Japan.ORCID 0000-0002-9441-3687
Takenori InomataDepartment of Ophthalmology, School of Medicine, Juntendo University, 1130033 Tokyo, Japan.ORCID 0000-0003-3435-1055
Kendrick Co ShihDepartment of Ophthalmology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.ORCID 0000-0001-6255-2941
Alessandra MiceraResearch and Development Laboratory for Biochemical, Molecular and Cellular Applications in Ophthalmological Sciences, IRCCS-Fondazione Bietti, 00198 Rome, Italy.
Daniele GaudenziOphthalmology Operative Complex Unit, University Campus Bio-Medico, 00128 Rome, Italy.
Sara SpeltaOphthalmology Operative Complex Unit, University Campus Bio-Medico, 00128 Rome, Italy.ORCID 0000-0002-9442-5741
Maria Angela RomeoSchool of Medicine, Humanitas University, 20089 Milan, Italy.
Paolo OrsariaBreast Unit, University Campus Bio-Medico, 00128 Rome, Italy.
Marco CoassinOphthalmology Operative Complex Unit, University Campus Bio-Medico, 00128 Rome, Italy.ORCID 0000-0003-3404-0425
Vittorio AltomareBreast Unit, University Campus Bio-Medico, 00128 Rome, Italy.
Università Campus Bio-Medico · ITJuntendo University · JPFondazione G.B. Bietti · ITHumanitas University · ITMagna Graecia University · ITUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDry eye syndrome (DES) is strictly connected to systemic and topical sex hormones. Breast cancer treatment, the subsequent hormonal therapy, the subsequent hyperandrogenism and the early sudden menopause, may be responsible for ocular surface system failure and its clinical manifestation as dry eye disease. This local dryness is part of the breast cancer iatrogenic dryness, which affects overall mucosal tissue in the fragile population of those with breast cancer.

methodsA literature review regarding the role of sex hormone changes and systemic hormonal replacement treatments (SHRT) in DES available on PubMed and Web of Science was made without any restriction of language.

resultsAndrogens exert their role on the ocular surface supporting meibomian gland function and exerting a pro-sebaceous effect. Estrogen seems to show a pro/inflammatory role on the ocular surface, while SHRT effects on dry eye are still not well defined, determining apparently contradictory consequences on the ocular surface homeostasis. The role of sex hormones on dry eye pathogenesis is most likely the result of a strict crosstalk between the protective androgens effects and the androgen-modulating effects of estrogens on the meibomian glands.

conclusionsPatients with a pathological or iatrogenic hormonal imbalance, such as in the case of breast cancer, should be assessed for dry eye disease, as well as systemic dryness, in order to restore their social and personal quality of life.

Indexed as

breast cancerdry eye syndromeocular surface equilibriumsex hormones

Identifiers

PMID34198684
PMCPMC8232194
OpenAlexW3171002743

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.