Evidence map›Paper›PMID 36471573›Full record

ReviewEuropean journal of ophthalmology2023

Management of inflammation in dry eye disease: Recommendations from a European panel of experts.

Elisabeth M Messmer, Sajjad Ahmad, José M Benitez Del Castillo, Ewa Mrukwa-Kominek, Maurizio Rolando, Oksana Vitovska, Christophe Baudouin, a panel of European dry eye disease experts

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 45 citations in OpenAlex.

  1. Effect of OTX-101 0.09% ciclosporin solution on clinical signs of dry eye disease in patients with moderate-to-severe corneal damage: a post-hoc analysis of randomized clinical trials.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Trial
  2. Impact of 0.05% cyclosporine A on visual quality in patients with Post-refractive surgery dry eye.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Trial
  3. Pooled results from two pivotal randomized controlled clinical trials: ESSENCE-1 and ESSENCE-2 to assess efficacy and safety of a water-free ciclosporin 0.1% formulation for the treatment of dry eye disease.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Trial
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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 7 institutions in 7 countries.

Elisabeth M MessmerDepartment of Ophthalmology, Ludwig Maximilian University, Munich, Germany.
Sajjad AhmadMoorfields Eye Hospital NHS Foundation Trust, London, UK.
José M Benitez Del CastilloHospital Clínico San Carlos, Complutense University of Madrid, Clínica Rementería, Madrid, Spain.
Ewa Mrukwa-KominekDepartment of Ophthalmology, Medical University of Silesia, Katowice, Poland.
Maurizio RolandoDepartment of Ophthalmology, University of Genoa, Genoa, Italy.
Oksana VitovskaNational Medical University 'O.O. Bogomolec', Kiev, Ukraine.
Christophe BaudouinDepartment of Ophthalmology, Quinze-Vingts National Ophthalmology Hospital and Vision Institute, Paris, France.
a panel of European dry eye disease experts
Bogomolets National Medical University · UACentre hospitalier national d'ophtalmologie des Quinze-Vingts · FRLudwig-Maximilians-Universität München · DEMedical University of Silesia · PLUniversidad Complutense de Madrid · ESUniversity College London · GBUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly initiation of anti-inflammatory therapies is recommended for dry eye disease (DED) to break the vicious cycle of pathophysiology. However, there is limited guidance on how to implement topical ciclosporin (CsA) and corticosteroid treatment into clinical practice. This expert-led consensus provides practical guidance on the management of DED, including when and how to use topical CsA.

methodsA steering committee (SC) of seven European DED experts developed a questionnaire to gain information on the unmet needs and management of DED in clinical practice. Consensus statements on four key areas (disease severity and progression; patient management; efficacy, safety and tolerability of CsA; and patient education) were generated based on the responses. The SC and an expanded expert panel of 22 members used a nine-point scale (1  =  strongly disagree; 9  =  strongly agree) to rate statements; a consensus was reached if ≥75% of experts scored a statement ≥7.

resultsA stepwise approach to DED management is required in patients presenting with moderate corneal staining. Early topical CsA initiation, alone or with corticosteroids, should be considered in patients with clinical risk factors for severe DED. Patient education is required before and during treatment to manage expectations regarding efficacy and tolerability in order to optimise adherence. Follow-up visits are required, ideally at Month 1 and every 3 months thereafter. Topical CsA may be continued indefinitely, especially when surgery is required.

conclusionThis consensus fills some of the knowledge gaps in previous recommendations regarding the use of topical corticosteroids and CsA in patients with DED.

Indexed as

CyclosporineDry Eye SyndromesHumansInflammationOphthalmic SolutionsRisk FactorsTearsCyclosporineOphthalmic Solutionsciclosporinconsensuscorticosteroidsdisease managementDry eye diseaseinflammationpatient education

Identifiers

PMID36471573
PMCPMC10152565
OpenAlexW4310787222

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.