Evidence map›Paper›PMID 36769811›Full record

ArticleJournal of clinical medicine2023

Effect of Hypochlorous Acid on Blepharitis through Ultrasonic Atomization: A Randomized Clinical Trial.

Hong Zhang, Yuqing Wu, Xichen Wan, Yan Shen, Qihua Le, Pei Yang, Shuyun Zhou, Xujiao Zhou, Feng Zhou, Hao Gu and 1 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Hypochlorous Acid: A Multipurpose New Addition to the Military Med Bag?Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
    Article
  3. Review
  4. Article
  5. Commercially available antiseptics show highFrontiers in veterinary science · 2025
    Article
  6. 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

11 authors.

Hong ZhangDepartment of Ophthalmology, The Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China.
Yuqing WuDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200437, China.
Xichen WanDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200437, China.
Yan ShenDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200437, China.
Qihua LeDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200437, China.
Pei YangDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200437, China.
Shuyun ZhouDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200437, China.
Xujiao ZhouDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200437, China.
Feng ZhouInstitutes of Biomedical Sciences, Fudan University, Shanghai 200032, China.
Hao GuDepartment of Ophthalmology, The Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China.
Jiaxu HongDepartment of Ophthalmology, The Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China.

Funding

National Natural Science Foundation of China [81970766 and 82171102the Shanghai Key Clinical Research Program SHDC2020CR3052Bthe Shanghai Medical Innovation Research Program 22Y21900900
6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of eyelid hygiene using topical 0.01% hypochlorous acid (HOCL) through ultrasonic atomization after 2 weeks in patients with blepharitis.

designRandomized controlled trial.

methodsPatients with blepharitis were randomized into two groups: topical 0.01% HOCL through ultrasonic atomization (HOCL group, 42 eyes) or eyelid scrubs (control group, 37 eyes). Patients in both groups received warm compresses twice daily and topical 0.5% levofloxacin three times a day. Primary outcomes were the ocular surface disease index scores (OSDI), lid margin redness, lid margin abnormalities, meibum expressibility, meibum quality, and noninvasive breakup time after 2 weeks. Secondary outcomes were conjunctiva redness, corneal fluorescein staining, and tear meniscus height. A questionnaire of treatment adherence with a free response section was administered to confirm patient compliance and comments.

resultsSixty-seven participants participated in this study. Both groups show an improvement in all primary outcomes, while statistically significant improvements in OSDI, lid margin redness, lid margin abnormality, meibum expressibility and quality are only limited to the HOCL group after 2 weeks of treatment (

conclusionTopical 0.01% HOCL through ultrasonic atomization is a tolerable and effective eyelid hygiene treatment for blepharitis.

Indexed as

blepharitisdry eyehypochlorous acid (HOCL)meibomian gland dysfunctionultrasonic atomization

Identifiers

PMID36769811
PMCPMC9917691

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Registered trials

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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.