Evidence map›Paper›PMID 37026239›Full record

ReviewIndian journal of ophthalmology2023

Lacrimal and meibomian gland evaluation in dry eye disease: A mini-review.

Swati Singh, Pragnya Rao Donthineni, Saumya Srivastav, Christina Jacobi, Sayan Basu, Friedrich Paulsen

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Indian journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07430137 (Effect of a Blink Reminder Program on the Progression of Meibomian Gland Loss in Intensive Digital Screen Users), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 3% 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.

NCT07430137 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effect of a Blink Reminder Program on the Progression of Meibomian Gland Loss in Intensive Digital Screen Users: a Randomized Controlled Trial With Infrared Meibography

TypeinterventionalSponsorAsociación para Evitar la Ceguera en MéxicoRan2026 to 2026Enrolled28ConditionsDry Eye Syndromes, Meibomian Gland Dysfunction (Disorder)ArmsDigital Blink Reminder Software (BlinkEasy), Visual Hygiene Education (20-20-20 Rule).
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Agreement Between Tear Film Tests Performed by Novice Examiners.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Sex Differences in the Lacrimal Gland: Implications for Dry Eye Disease.International journal of molecular sciences · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Ocular Changes in Cystic Fibrosis: A Review.International journal of molecular sciences · 2024
    Review
  13. Article
  14. Article
  15. 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

6 authors at 4 institutions in 2 countries.

Swati SinghOphthalmic Plastic Surgery Services, KAR Campus, L V Prasad Eye Institute, Hyderabad, Telangana, India; Institute of Functional and Clinical Anatomy, Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Pragnya Rao DonthineniThe Cornea Institute, KAR Campus, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Saumya SrivastavBrien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Christina JacobiAUGEN and HAUT-Zentrum-Praxis Dr. Jacobi, Nuremberg; Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Sayan BasuThe Cornea Institute, KAR Campus, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Friedrich PaulsenInstitute of Functional and Clinical Anatomy, Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEL V Prasad Eye Institute · INHyderabad Rheumatology Center · INOrthopädische Praxis · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lacrimal and meibomian glands contribute to the aqueous and lipid components of tear film, respectively. Their evaluation remains central to diagnosing and managing dry eye disease (DED). The review discusses the differences and reliability of various diagnostic tests and commercially available devices used for DED diagnosis. Slit-lamp-based techniques are direct palpebral lobe and tear flow assessment, Schirmer test, meibum quality and expressibility, and evaluation of tear meniscus height. Non-invasive tear meniscus height (TMH), tear break-up time (TBUT), lipid layer thickness (LLT), and meibography are machine-based diagnostic tests. The structure-function correlation of the tear-producing glands gives more comprehensive details than either information alone. Many devices are available in the market, which make DED diagnosis an easy feat, but the tests should be interpreted keeping in mind the intra-observer and inter-observer repeatability. Also, the tear film displays a huge variability as per the environmental conditions and impact of blinking. Hence, the examiner should be well versed with the techniques and repeat the test two to three times to obtain an average reading, which is more reliable. The recommended sequence of tests for diagnosing DED is a dry eye questionnaire, TMH, LLT, NIBUT (FBUT if non-invasive test is unavailable but should be performed after osmolarity), tear osmolarity, meibography, and ocular surface staining. Invasive tests such as Schirmer should be performed after the non-invasive tear film diagnostic testing.

Indexed as

Dry Eye SyndromesLacrimal ApparatusHumansLipidsMeibomian GlandsReproducibility of ResultsTearsLipidsDry eye diseaselacrimal glandlipid layer thicknessmeibomian glandstear break-up timetear meniscus height

Identifiers

PMID37026239
PMCPMC10276709
OpenAlexW4362692575

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.