Evidence map›Paper›PMID 38068353›Full record

ReviewJournal of clinical medicine2023

Trehalose and Dry Eye Disease: A Comprehensive Systematic Review of Randomized Controlled Trials.

Antonio Ballesteros-Sánchez, Clara Martinez-Perez, Cristina Alvarez-Peregrina, Miguel Ángel Sánchez-Tena, Concepción De-Hita-Cantalejo, María Carmen Sánchez-González, José-María Sánchez-González

Open access · goldAbstract readReview
In one paragraph

Review 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Efficacy and safety of a multi-action tear substitute based on 0.15% cross-linked hyaluronic acid, 3% trehalose and liposomes with stearylamine: A randomized, single-mask, controlled study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Trial
  2. Effect of different artificial tears on tear film parameters in dry eye disease.Optometry and vision science : official publication of the American Academy of Optometry · 2025
    Trial
  3. Review
  4. Autophagy in ocular diseases: from mechanisms to therapeutic potential.Frontiers in cell and developmental biology · 2026
    Review
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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

7 authors at 4 institutions in 2 countries.

Antonio Ballesteros-SánchezDepartment of Physics of Condensed Matter, Optics Area, University of Seville, 41004 Seville, Spain.ORCID 0000-0002-9248-8685
Clara Martinez-PerezISEC LISBOA (Instituto Superior de Educação e Ciências), 1750-142 Lisbon, Portugal.ORCID 0000-0002-0996-5007
Cristina Alvarez-PeregrinaOptometry and Vision Department, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain.ORCID 0000-0003-1097-4581
Miguel Ángel Sánchez-TenaOptometry and Vision Department, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain.ORCID 0000-0002-2583-1789
Concepción De-Hita-CantalejoDepartment of Physics of Condensed Matter, Optics Area, University of Seville, 41004 Seville, Spain.
María Carmen Sánchez-GonzálezDepartment of Physics of Condensed Matter, Optics Area, University of Seville, 41004 Seville, Spain.ORCID 0000-0002-9453-8615
José-María Sánchez-GonzálezDepartment of Physics of Condensed Matter, Optics Area, University of Seville, 41004 Seville, Spain.ORCID 0000-0003-0450-7717
Universidad de Sevilla · ESUniversidad Complutense de Madrid · ESClínica Rementería · ESInstituto Superior de Educação e Ciências · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of the research project was to extensively review the efficacy and safety of a trehalose tear-substitute treatment in cases of dry eye disease (DED). A systematic review that included only full-length randomized controlled studies (RCTs) reporting the effects of trehalose tear-substitute treatment in three databases, PubMed, Scopus and Web of Science, was performed according to the PRISMA statement. The search period included papers published before 8 August 2023. The Cochrane risk-of-bias tool was used to analyze the quality of the studies selected. A total of 10 RCTs were included in this systematic review. Trehalose tear-substitute treatments achieved a higher improvement than did control group interventions in all reported variables. The mean differences between both groups were in favor of trehalose, and were as follows: ocular surface disease index (OSDI) questionnaire score of -8.5 ± 7 points, tear film breakup time (TBUT) of 1.9 ± 1 s, tear film thickness (TFT) of 0.25 ± 0.1 μm, tear meniscus height (TMH) of 0.02 ± 0.02 mm, Schirmer test (ST) of 0.8 ± 1.4 mm, corneal fluorescein staining (CFS) of -0.7 ± 0.1 points and visual acuity (VA) of 0.3 ± 2.1 letters. No adverse events after trehalose tear-substitute treatments were reported. Trehalose tear substitutes are a safe and effective treatment for DED. Therefore, trehalose tear substitutes should be recommended for patients with dry eye disease. In addition, there is specific evidence to support its use in the preoperative cataract surgery period.

Indexed as

dry eye diseasehyaluronic acidtear substitutestrehalose

Identifiers

PMID38068353
PMCPMC10707449
OpenAlexW4389056215

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.