Evidence map›Paper›PMID 40844045›Full record

ReviewJournal of cosmetic dermatology2025

Ocular Surveillance During Off-Label Oral Isotretinoin for Photoaging: A Review of Risks and Monitoring Recommendations.

Fabiano Nadson Magacho-Vieira, Gilmasa Daniele Rios Dias

Abstract readReview
In one paragraph

Review in Journal of cosmetic dermatology, 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

2 authors.

Fabiano Nadson Magacho-VieiraMagacho Institute for Health Education, Fortaleza, Ceará, Brazil.ORCID https://orcid.org/0000-0002-1083-9622
Gilmasa Daniele Rios DiasMagacho Institute for Health Education, Fortaleza, Ceará, Brazil.ORCID https://orcid.org/0000-0002-0284-0359

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow-dose oral isotretinoin is increasingly used off-label for photoaging, with evidence of clinical and histologic skin improvement.

objectiveTo review ocular risks associated with isotretinoin in aesthetic use and propose monitoring recommendations.

methodsA narrative review of clinical studies, observational data, and mechanistic reports addressing isotretinoin-induced ocular effects was performed, integrating dermatologic and ophthalmologic perspectives.

resultsReported adverse effects include dry eye disease, meibomian gland dysfunction, and, rarely, retinal alterations. Risk may be cumulative in long-term or repeated cosmetic regimens.

conclusionA risk-adapted monitoring approach, emphasizing patient selection, informed consent, and interdisciplinary care, is recommended to balance cosmetic benefits with ocular safety.

Indexed as

Dermatologic AgentsDry Eye SyndromesIsotretinoinSkin AgingAdministration, OralHumansMeibomian Gland DysfunctionOff-Label UseRisk AssessmentDermatologic AgentsIsotretinoinadverse effectsdry eye syndromeisotretinoinphotoagingretinal diseasesretinoidsvisual dysfunction

Identifiers

PMID40844045
PMCPMC12371842

What OpenQuestion holds

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LicenceCC BY
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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.