Evidence map›Paper›PMID 35933379›Full record

ArticleBMC ophthalmology2022

A retrospective study of the efficacy of intense pulsed light delivered by the Lacrystim® for meibomian gland dysfunction therapy.

Marie-Caroline Trone, Thibaud Garcin, Edouard Ollier, Gilles Thuret, Philippe Gain

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04147962 (Intense Pulsed Light in Meibomian Gland Dysfunctions), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT04147962 completednot on this map

Intense Pulsed Light in Meibomian Gland Dysfunctions: Retrospective Study

TypeobservationalSponsorCentre Hospitalier Universitaire de Saint EtienneRan2019 to 2020Enrolled45ConditionsDry Eye Syndromes, Meibomian Gland DysfunctionArmsintense pulsed light (usual practice)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

5 authors at 2 institutions in 1 country.

Marie-Caroline TroneOphthalmology department, University Hospital, 42055 Saint-Etienne Cedex1, Saint-Etienne, France. mariecarolinetrone@gmail.com.
Thibaud GarcinOphthalmology department, University Hospital, 42055 Saint-Etienne Cedex1, Saint-Etienne, France.
Edouard OllierClinical Research, Innovation and Pharmacology Unit, University Hospital, Saint-Etienne, France.
Gilles ThuretOphthalmology department, University Hospital, 42055 Saint-Etienne Cedex1, Saint-Etienne, France.
Philippe GainOphthalmology department, University Hospital, 42055 Saint-Etienne Cedex1, Saint-Etienne, France.
Centre Hospitalier Universitaire de Saint-Étienne · FRUniversité Jean Monnet · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeibomian gland dysfunction is the most common etiology of dry eye disease worldwide and intense pulsed light appears to be a promising treatment with encouraging results. Lacrystim® is a new IPL device (CE marking in 2019) and no studies have yet been published on it. We propose the first study on this device with an objective assessment of its efficacy and an extended follow-up over 6 months.

methodsPatients presenting with a dry eye disease (DED) with stable mild to moderate MGD and having received Lacrystim® treatment between june 2019 and june 2020 were included. 3 IPL sessions were performed at D0, D15 and D45 with 4 shots per side at a fluence of 8 mJ/cm2. DED clinical evaluation was performed at D0, D15, D45, 3rd month and 6th month: Oxford scale and break up time, Schirmer test and Ocular Surface Disease Index (OSDI) questionnaire. Lacrydiag® imaging device carried out an objective examination of tear film: interferometry, meibography, tear meniscus height and non-invasive break up time (NIBUT). The primary endpoint was the evolution in NIBUT between the first visit D0 and 3rd month. Data collection was done retrospectively. Statistical analysis was done using a linear mixed-effects model and a non-parametric linear mixed-effects model (R software).

resultsForthy five consecutive patients were included. NIBUT significantly increased between D0 and 3rd month: mean difference of 1.63 seconds, IC95% [0.51; 2.62], (p = 0.002) with a prolonged effect at 6th month. OSDI and OXFORD scores and interferometry were also significantly improved at 3rd month and 6th month. There was no significant change in BUT, Schirmer test and tear meniscus height. No adverse event was noted.

conclusionsIPL delivered by Lacrystim® appears effective and safe to treat MGD although a randomized controlled trial is needed to validate its results.

trial registrationThis work was approved by a local ethics committee "Terre d'éthique" (institutional review board number: IRBN672019/CHUSTE) and registered on the clinicaltrial.gov website ( NCT04147962 , 01/11/2019).

Indexed as

Dry Eye SyndromesMeibomian Gland DysfunctionHumansMeibomian GlandsRetrospective StudiesTearsDry eye diseaseIntense pulsed lightMeibomian gland dysfunctionNIBUT

Identifiers

PMID35933379
PMCPMC9356507
OpenAlexW4289978796

What OpenQuestion holds

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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.