Evidence map›Paper›PMID 39446816›Full record

Trial reportIndian journal of ophthalmology2025

Comparison of postoperative cyclosporine 2.0% versus betamethasone 0.1% eye drops following trabeculectomy: A randomized clinical trial.

Esmaeil Babaei, Alireza Eslampoor, Ramin Daneshvar

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Indian journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Esmaeil BabaeiDepartment of Ophthalmology, Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Alireza EslampoorDepartment of Ophthalmology, Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Ramin DaneshvarDepartment of Ophthalmology, Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effect of cyclosporine A 2% eye drop following trabeculectomy on intraocular pressure (IOP) and surgical success compared to postoperative steroid drop. STUDY

designProspective, randomized clinical trial in an institutional setting. METHODS PATIENTS: Forty patients with primary open-angle glaucoma and candidates for trabeculectomy were included in this study. Standard fornix-based trabeculectomy augmented with mitomycin C was performed for all patients. None of the included subjects had a history of prior laser or intraocular surgery in that eye.

interventionAll included subjects were randomly assigned to either postoperative cyclosporine A 2% or betamethasone 0.1% eye drops.

main outcome measuresIOP measured by applanation tonometer and surgical success rate.

resultsSeventy-five potentially eligible POAG patients were seen during the study period, and 40 met the study criteria and were randomly assigned to one of the study groups. Patients in the cyclosporine A 2% group had consistently lower IOP, fewer glaucoma medications, and higher success rates for at least 24 months after surgery ( P < 0.0001). Complete success was more frequent in the cyclosporine group. Moreover, the cyclosporine A group had more diffuse and elevated bleb with less vascularity in the first 3 months after surgery ( P ≤ 0.01). This was paralleled with fewer dry eye signs and symptoms in the cyclosporine group in the first 3 months ( P < 0.03).

conclusionPostoperative cyclosporine A 2% eye drop can be used instead of steroid drops and is associated with improved surgical success and decreased dry eye manifestations.

Indexed as

BetamethasoneCyclosporineGlaucoma, Open-AngleIntraocular PressureTrabeculectomyAdultAgedDose-Response Relationship, DrugFemaleFollow-Up StudiesGlucocorticoidsHumansImmunosuppressive AgentsMaleMiddle AgedOphthalmic SolutionsBetamethasoneCyclosporineGlucocorticoidsImmunosuppressive AgentsOphthalmic Solutions

Identifiers

PMID39446816
PMCPMC12013290

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Registered trials

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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.