Evidence map›Paper›PMID 40377437›Full record

ArticleThe oncologist2025

Influence of tamoxifen on ocular morphology and function.

Piotr Strzalkowski, Alicja Strzalkowska, Maximiliane von der Ahe, Ann-Kathrin Ozga, Svjetlana Mohrmann, Rainer Guthoff, Gerd Geerling, Kristina Spaniol

Abstract read
In one paragraph

Article in The oncologist, 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. Review
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.

Piotr StrzalkowskiDepartment of Ophthalmology - Medical Faculty and University Hospital Düsseldorf - Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany.ORCID 0000-0003-2063-5743
Alicja StrzalkowskaDepartment of Ophthalmology - Medical Faculty and University Hospital Düsseldorf - Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany.
Maximiliane von der AheDepartment of Ophthalmology - Medical Faculty and University Hospital Düsseldorf - Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany.
Ann-Kathrin OzgaInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg Eppendorf, 20251 Hamburg, Germany.ORCID 0000-0002-9501-7301
Svjetlana MohrmannDepartment of Gynecology - Medical Faculty and University Hospital Düsseldorf - Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany.
Rainer GuthoffDepartment of Ophthalmology - Medical Faculty and University Hospital Düsseldorf - Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany.
Gerd GeerlingDepartment of Ophthalmology - Medical Faculty and University Hospital Düsseldorf - Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany.
Kristina SpaniolDepartment of Ophthalmology - Medical Faculty and University Hospital Düsseldorf - Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany.ORCID 0000-0003-2560-7960

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTamoxifen, a commonly used selective estrogen receptor antagonist for adjuvant therapy in hormone receptor-positive breast cancer, can cause ocular side effects due to estrogen receptors in ocular structures. This prospective study explores its impact on ocular morphology and function. MATERIALS AND

methodsThis prospective, non-interventional, cross-sectional study explores the effects of tamoxifen on ocular morphology, visual acuity, and quality. Examinations included objective refractometry, visual acuity, contrast sensitivity, color vision, visual field tests, corneal topography, optical coherence tomography, autofluorescence, and slit lamp biomicroscopy. Participants completed a health questionnaire. Statistical analysis, using linear or logistic (mixed) regression, compared tamoxifen's effects to a control group.

resultsA total of 102 patients were included: 90 in the study group and 12 controls. The duration of tamoxifen therapy showed a clinically relevant impact on the visual field, with a mean loss variance change of 0.045 dB² per week (95% CI [0.012 dB²; 0.079 dB²]). Corneal thickness decreased by -0.12 μm per week (95% CI [-0.20 μm; -0.031 μm]) with longer therapy duration. Fourteen patients received additional aromatase inhibitors, and this group showed clinically significant reductions in both visual acuity and contrast vision. No correlation was observed between tamoxifen intake and visual acuity, contrast vision, color vision, mean defect in visual fields, retinal thickness, macular morphology, or slit-lamp biomicroscopy findings.

conclusionAccording to this study, tamoxifen intake influences corneal thickness and perimetry, which are two parameters associated with glaucoma development. Regular ophthalmological glaucoma controls could be useful in tamoxifen patients, especially if glaucoma is already known.

Indexed as

Antineoplastic Agents, HormonalBreast NeoplasmsTamoxifenAdultAgedCross-Sectional StudiesFemaleHumansMiddle AgedProspective StudiesTomography, Optical CoherenceVisual AcuityVisual FieldsAntineoplastic Agents, HormonalTamoxifencontrast sensitivitycorneal thicknessglaucoma risktamoxifenvisual field

Identifiers

PMID40377437
PMCPMC12082814

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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.