Evidence map›Paper›PMID 39344883›Full record

ArticleActa ophthalmologica2025

Response predictors of a topical corticosteroid-based regimen for dry eyes: A real-life study.

Tor Paaske Utheim, Xiangjun Chen, Fredrik Fineide, Tore Steinkjer, Steffen Heegaard, Miriam Kolko, Darlene A Dartt, Ayyad Zartasht Khan

Abstract read
In one paragraph

Article in Acta ophthalmologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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.

Tor Paaske UtheimDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.
Xiangjun ChenDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-0331-9028
Fredrik FineideDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-3835-8772
Tore SteinkjerThe Norwegian Dry Eye Clinic, Oslo, Norway.
Steffen HeegaardDepartment of Ophthalmology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0001-5906-7670
Miriam KolkoDepartment of Ophthalmology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0001-8697-0734
Darlene A DarttSchepens Eye Research Institute, Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts, USA.
Ayyad Zartasht KhanDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-2048-225X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the effectiveness and identify clinical response predictors of a short corticosteroid-based regimen consisting of topical preservative-free 0.1% dexamethasone (Monopex®, Théa Laboratories) in conjunction with artificial tears (AT) for dry eyes in a real-life clinical setting.

methodsPatients were recruited from the Norwegian Dry Eye Clinic and were allowed to use ATs of their own choice in addition to the prescribed 14-day topical dexamethasone course. Ocular Surface Disease Index (OSDI), Dry Eye Questionnaire (DEQ-5), Schirmer test (ST), fluorescein tear film break-up time (FBUT), ocular surface staining (OSS), meibum expressibility (ME), meibum quality (MQ), number of expressible meibomian glands among the central eight glands in the lower lids (N

resultsA total of 167 patients (124 women, mean age 54 years ±17 (standard deviation)) were included. One month after initiation of intervention, OSDI and DEQ5 scores improved from 39.5 ± 22.1 to 31.4 ± 21.3 (p < 0.001) and from 12.6 ± 4.2 to 11.0 ± 4.6 (p < 0.001), respectively. OSS improved from 2.2 ± 1.4 to 1.8 ± 1.5 (p < 0.001), N

conclusionImprovement in dry eye symptoms and signs were observed following a short course of topical, preservative-free 0.1% dexamethasone treatment in combination with AT. Individuals exhibiting more pronounced symptoms and signs witnessed the most profound improvements with the treatment regimen, suggesting that poor baseline parameters may serve as response predictors of the treatment regimen. While the real-life data presented herein are valuable, the conclusions are limited by the inherent biases of a non-controlled study.

Indexed as

DexamethasoneDry Eye SyndromesGlucocorticoidsAdministration, TopicalAdultAgedFemaleFollow-Up StudiesHumansIntraocular PressureLubricant Eye DropsMaleMeibomian GlandsMiddle AgedOphthalmic SolutionsProspective StudiesDexamethasoneGlucocorticoidsLubricant Eye DropsOphthalmic Solutionscorticosteroidsdry eyesreal‐life studyresponse predictorstopical dexamethasone

Identifiers

PMID39344883
PMCPMC11704838

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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.