Evidence map›Paper›PMID 39562261›Full record

SynthesisContact lens & anterior eye : the journal of the British Contact Lens Association2025

LipiFlow for the treatment of dry eye disease: A Cochrane systematic review summary.

Tsz Wing Yim, Andrew D Pucker, Erin Rueff, William Ngo, Anna A Tichenor, John E Conto

Abstract readSystematic Review
In one paragraph

Synthesis in Contact lens & anterior eye : the journal of the British Contact Lens Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Efficacy of eyelid warming therapies in contact lens-related dry eye and comfortable wearing time: a systematic review with meta-analysis.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. 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.

Tsz Wing YimDepartment of Ophthalmology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Andrew D PuckerLexitas Pharma Services, Durham, NC, USA. Electronic address: andrewpucker@hotmail.com.
Erin RueffSouthern California College of Optometry at Marshall B Ketchum University, Fullerton, CA, USA.
William NgoUniversity of Waterloo School of Optometry & Vision Science, Waterloo, ON, CA, USA.
Anna A TichenorIndiana University School of Optometry, Bloomington, IN, USA.
John E ContoDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, WI, USA.

Funding

Maximizing Use of High-Quality Evidence in Eye Care: Cochrane Eyes and Vision US ProjectUG1EY020522 · NEI · UNIVERSITY OF COLORADO DENVER · PI Tianjing Li · 2017 to 2026
$10.1M
NEI NIH HHS UG1 EY020522
6 · The paper itself

Abstract

purposeTo evaluate the effectiveness and the safety of LipiFlow for treating signs and symptoms of dry eye disease (DED) in adults.

methodsThe following databases were searched for randomized trials: CENTRAL, MEDLINE Ovid, Embase.com, PubMed, LILACS, ClinicalTrials.gov, and WHO ICTRP on 24 October 2022. The included studies were conducted in adults (≥18 years) with DED or meibomian gland dysfunction (MGD) as defined by the investigators. Standard Cochrane methodology was applied.

resultsThis study included 13 trials that randomized a total of 1,155 participants (66 % female; age range = 19 to 86 years). Five trials compared LipiFlow with basic warm compresses. Analyzing symptom scores in these trials yielded conflicting evidence of a difference in symptoms between LipiFlow and basic warm compresses after 4 weeks. There was no evidence of a difference in meibomian gland expression, meibum quality, or tear breakup time when comparing LipiFlow with basic warm compresses. Another 5 trials compared LipiFlow with thermostatic devices. Analysis of symptom scores in these trials at 4 weeks showed that thermostatic devices had reduced Ocular Surface Disease Index (OSDI) scores by a mean difference of 4.59 as compared with LipiFlow. The remaining 3 included trials could not be grouped for comparisons. The overall evidence was of low or very low certainty, with most trials being assessed as having a high risk of bias. No trial reported any intervention-related, vision-threating adverse events.

conclusionsLipiFlow performs similarly to other DED treatments. Further research with adequate masking and a standardized testing methodology is still needed.

Indexed as

Dry Eye SyndromesHyperthermia, InducedAdultAgedFemaleHumansMeibomian Gland DysfunctionMeibomian GlandsMiddle AgedRandomized Controlled Trials as TopicTearsTreatment OutcomeCochrane Systematic ReviewDry Eye DiseaseLipiFlow Thermal Pulsation SystemMeibomian Gland DysfunctionRandomized Trials

Identifiers

PMID39562261
PMCPMC11911098

What OpenQuestion holds

Textmetadata
LicenceTDM
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.