Evidence map›Paper›PMID 35514082›Full record

ReviewActa ophthalmologica2022

Hyaluronic acid in the treatment of dry eye disease.

Leif Hynnekleiv, Morten Magno, Ragnheidur R Vernhardsdottir, Emily Moschowits, Kim Alexander Tønseth, Darlene A Dartt, Jelle Vehof, Tor P Utheim

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Acta ophthalmologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07594184 (Efficacy of Submucosal Hyaluronic Acid Infiltration in Improving the Sensation of Dry Mouth in Patients With Xerostomia), which is not on this map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
24.5field-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.

NCT07594184 narecruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Submucosal Hyaluronic Acid Infiltration in Improving the Sensation of Dry Mouth in Patients With Xerostomia: A Double-Blind Randomized Clinical Trial.

TypeinterventionalSponsorUniversity of BarcelonaRan2025 to 2026Enrolled40ConditionsXerostomiaArmsSubmucosal infiltration of non reticulated hyaluronic acid, Submucosal infiltration of Placebo
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Guideline
  2. Topical diquafosol versus hyaluronic acid for the treatment of dry eye disease: a meta-analysis of randomized controlled trials.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Pooled it
  3. Efficacy and safety of a multi-action tear substitute based on 0.15% cross-linked hyaluronic acid, 3% trehalose and liposomes with stearylamine: A randomized, single-mask, controlled study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Trial
  4. Trial
  5. Trial
  6. Effect of different artificial tears on tear film parameters in dry eye disease.Optometry and vision science : official publication of the American Academy of Optometry · 2025
    Trial
  7. Trial
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Dual Evaluation ofJournal of clinical medicine · 2026
    Article
  20. Article

20 more citing papers are in PubMed but not listed here.

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 4 institutions in 4 countries.

Leif HynnekleivDepartment of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-7762-831X
Morten MagnoDepartment of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-2276-1770
Ragnheidur R VernhardsdottirDepartment of Ophthalmology, Vestfold Hospital Trust, Tønsberg, Norway.
Emily MoschowitsDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.
Kim Alexander TønsethDepartment of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway.
Darlene A DarttSchepens Eye Research Institute/Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts, USA.
Jelle VehofDepartment of Twin Research & Genetic Epidemiology, King's College London, St Thomas' Hospital, London, UK.ORCID https://orcid.org/0000-0003-2804-7399
Tor P UtheimDepartment of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOMassachusetts Eye and Ear Infirmary · USSt Thomas' Hospital · GBSykehuset i Vestfold · NO

Funding

Conjunctival Goblet Cell Mucin Secretion in Inflammation and Its ResolutionR01EY019470 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI DARTT, DARLENE A · 2009 to 2023
$7.4M
Construction of Conjunctival Equivalents Using Molecular Deposition TechniquesR01EY029789 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI DARTT, DARLENE A · 2020 to 2023
$1.6M
NEI NIH HHS R01 EY019470US NIH R01EY019470US NIH R01EY029789
6 · The paper itself

Abstract

Dry eye disease (DED) is a highly prevalent and debilitating condition affecting several hundred million people worldwide. Hyaluronic acid (HA) is a naturally occurring glycosaminoglycan commonly used in the treatment of DED. This review aims to critically evaluate the literature on the safety and efficacy of artificial tears containing HA used in DED treatment. Literature searches were conducted in PubMed, including MEDLINE, and in Embase via Ovid with the search term: "(hyaluronic acid OR hyaluronan OR hyaluronate) AND (dry eye OR sicca)". A total of 53 clinical trials are included in this review, including eight placebo-controlled trials. Hyaluronic acid concentrations ranged from 0.1% to 0.4%. Studies lasted up to 3 months. A broad spectrum of DED types and severities was represented in the reviewed literature. No major complications or adverse events were reported. Artificial tears containing 0.1% to 0.4% HA were effective at improving both signs and symptoms of DED. Two major gaps in the literature have been identified: 1. no study investigated the ideal drop frequency for HA-containing eyedrops, and 2. insufficient evidence was presented to recommend any specific HA formulation over another. Future investigations assessing the optimal drop frequency for different concentrations and molecular weights of HA, different drop formulations, including tonicity, and accounting for DED severity and aetiology are essential for an evidence-based, individualized approach to DED treatment.

Indexed as

Dry Eye SyndromesLubricant Eye DropsHumansHyaluronic AcidTearsHyaluronic AcidLubricant Eye Dropsartificial tearsdry eye diseasedry eye treatmenthyaluronatehyaluronic acid

Identifiers

PMID35514082
PMCPMC9790727
OpenAlexW4229064091

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.