Evidence map›Paper›PMID 37547228›Full record

ReviewFrontiers in toxicology2023

Ocular surface disease: a known yet overlooked side effect of topical glaucoma therapy.

Raul E Ruiz-Lozano, Nadim S Azar, Hazem M Mousa, Manuel E Quiroga-Garza, Seitaro Komai, Lorena Wheelock-Gutierrez, Cristian Cartes, Victor L Perez

Registry-linked trialAbstract readReview
In one paragraph

Review in Frontiers in toxicology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07554937 (Optimizing Blinking Exercises to Improve Dry Eye Disease in Patients With Glaucoma), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

NCT07554937 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Optimizing Blinking Exercises to Improve Dry Eye Disease in Patients With Glaucoma

TypeinterventionalSponsorSt. Joseph's Healthcare HamiltonRan2026 to 2027Enrolled45ConditionsDry Eye Disease (DED), GlaucomaArmsStructured Blinking Exercise Training
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Role of Inflammation in Canine Primary Glaucoma.Animals : an open access journal from MDPI · 2023
    Review
  14. 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

8 authors.

Raul E Ruiz-LozanoTecnologico de Monterrey, Escuela de Medicina y Ciencias de La Salud, Monterrey, Mexico.
Nadim S AzarDepartment of Ophthalmology, Foster Center for Ocular Immunology at Duke Eye Center, Duke University School of Medicine, Durham, NC, United States.
Hazem M MousaDepartment of Ophthalmology, Foster Center for Ocular Immunology at Duke Eye Center, Duke University School of Medicine, Durham, NC, United States.
Manuel E Quiroga-GarzaDepartment of Ophthalmology, Foster Center for Ocular Immunology at Duke Eye Center, Duke University School of Medicine, Durham, NC, United States.
Seitaro KomaiDepartment of Ophthalmology, Foster Center for Ocular Immunology at Duke Eye Center, Duke University School of Medicine, Durham, NC, United States.
Lorena Wheelock-GutierrezAsociación Para Evitar La Ceguera en México, I.A.P, Mexico City, Mexico.
Cristian CartesUnidad Oftalmología, Departamento de Especialidades, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Victor L PerezDepartment of Ophthalmology, Foster Center for Ocular Immunology at Duke Eye Center, Duke University School of Medicine, Durham, NC, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ocular surface disease (OSD), a disorder affecting the lacrimal and meibomian glands and the corneal and conjunctival epithelium, is a well-known complication of topical glaucoma therapy. OSD can present as a new or pre-existing condition that virtually any anti-glaucoma formulation can exacerbate. As such, both glaucoma and OSD frequently coexist. Typical OSD symptoms include ocular discomfort, redness, burning, and dryness, whereas signs include periorbital and eyelid skin pigmentation, conjunctival scarring, and superficial punctate keratitis. Pressure-lowering eyedrops can cause toxic, allergic, and inflammatory reactions on the ocular surface. The latter can result from either preservatives or direct toxicity from the active molecule. Although usually mild, OSD can cause significant symptoms that lead to poor quality of life, decreased compliance to therapy, glaucoma progression, and worse visual outcomes. Given the chronic nature of glaucoma, lack of curative therapy, and subsequent lifelong treatment, addressing OSD is necessary. This manuscript aims to provide an up-to-date overview of OSD's signs, symptoms, and pathogenic mechanisms from glaucoma therapy toxicity.

Indexed as

alpha-adrenergic agonistsbeta blockerscarbonic anhydrase inhibitorsdry eye diseasenitric oxide-donating prostaglandin analogsocular surface diseaseprostaglandin analogsrho-kinase inhibitors

Identifiers

PMID37547228
PMCPMC10403269

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.