Evidence map›Paper›PMID 38088255›Full record

Trial reportBMJ open ophthalmology2023

Hypochlorous acid hygiene solution in patients affected by blepharitis: a prospective randomised study.

Rita Mencucci, Alberto Morelli, Eleonora Favuzza, Angelo Galano, Anna Maria Roszkowska, Michela Cennamo

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open 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 NCT07759180 (A Prospective Randomized Controlled Trial of a Sterile Gauze Containing Natural Plant Extracts), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT07759180 nacompletednot on this map

A Prospective Randomized Controlled Trial of a Sterile Gauze Containing Natural Plant Extracts (Leniben®) for Eyelid Hygiene in Patients With Bilateral Anterior Blepharitis

TypeinterventionalSponsorAzienda Ospedaliera OO.RR. S. Giovanni di Dio e Ruggi D'AragonaRan2023 to 2025Enrolled38ConditionsBlepharitisArmsPlant-Based Sterile Eyelid Gauze, Sterile Cotton Gauze Moistened with Saline Solution
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Commercially available antiseptics show highFrontiers in veterinary science · 2025
    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 2 institutions in 1 country.

Rita MencucciDepartment of Neurosciences, Psychology, Pharmacology and Child Health, University of Florence, Florence, Italy rita.mencucci@unifi.it.ORCID 0000-0003-1856-6363
Alberto MorelliDepartment of Neurosciences, Psychology, Pharmacology and Child Health, University of Florence, Florence, Italy.
Eleonora FavuzzaDepartment of Neurosciences, Psychology, Pharmacology and Child Health, University of Florence, Florence, Italy.
Angelo GalanoClinical Microbiology and Virology Unit, Careggi Hospital, University of Florence, Florence, Italy.
Anna Maria RoszkowskaOphthalmology Clinic, Department of Biomedical Sciences, University Hospital of Messina, Messina, Italy.
Michela CennamoDepartment of Neurosciences, Psychology, Pharmacology and Child Health, University of Florence, Florence, Italy.
University of Florence · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo investigate the clinical outcomes and antimicrobial activity of an hypochlorous acid hygiene solution compared with hyaluronic acid wipes for blepharitis treatment in patients with dry eye disease (DED).

methodsThis study involved 48 eyes of 48 patients affected by blepharitis with mild to moderate DED. 24 patients were treated with a hypochlorous acid hygiene solution (HOCL group) and 24 patients were treated with hyaluronic acid wipes (HYAL group) for a period of 4 weeks. The following clinical outcomes were assessed before (V0) and after the treatment period (V1): non-invasive keratograph break up time (NIK-BUT), tear film BUT (TF-BUT) tear meniscus height (TMH), Keratograph meibography, Meibomian Gland Yield Secretion Score (MGYSS), Corneal Staining Score (CSS), Schirmer test I, Keratograph conjunctival redness score and Ocular Surface Disease Index (OSDI). Moreover, microbiological analysis of upper and lower eyelid margins was performed at V0 both before and 5 min after treatment.

resultsAfter 1-month NIK-BUT and TF-BUT significantly increased in HOCL group, while they did not show a statistically significant difference in HYAL group compared with baseline. OSDI, TMH and MGYSS showed a significant difference in both groups, while Schirmer test, meibography, CSS and conjunctival redness score did not significantly change in both groups. Bacterial load showed a significant reduction in both groups, more pronounced in HOCL group compared with HYAL group.

conclusionsHypochlorous acid hygiene solution can be securely employed in blepharitis treatment considering the satisfying clinical outcomes and antimicrobial activity compared with hyaluronic acid wipes.

Indexed as

Anti-Infective AgentsBlepharitisHumansHyaluronic AcidHygieneHypochlorous AcidMeibomian GlandsProspective StudiesAnti-Infective AgentsHyaluronic AcidHypochlorous AcidEye LidsMicrobiologyTreatment Medical

Identifiers

PMID38088255
PMCPMC10711848
OpenAlexW4389484387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.