Evidence map›Paper›PMID 41025570›Full record

ReviewAllergy2025

Drug-Induced Periocular and Ocular Surface Disorders: An EAACI Position Paper.

Andrea Leonardi, Banu Bozkurt, Diana Silva, Charlotte G Mortz, Christophe Baudouin, Marina Atanaskovic-Markovic, Vibha Sharma, Serge Doan, Shweta Agarwal, Daniel Pérez-Formigo and 7 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Understanding Biologics in CRSwNP: Related Events and Insights.Current allergy and asthma reports · 2026
    Review
  3. Review
  4. Review
  5. Ophthalmologic Comorbidities in Alopecia Areata.Journal of clinical medicine · 2025
    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

17 authors.

Andrea LeonardiOphthalmology Unit, Department of Neuroscience, University of Padova, Padova, Italy.ORCID https://orcid.org/0000-0002-7246-8580
Banu BozkurtDepartment of Ophthalmology, Selçuk University Faculty of Medicine, Konya, Türkiye.
Diana SilvaBasic and Clinical Immunology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal.
Charlotte G MortzDepartement of Dermatology and Allergy Center, Odense University Hospital, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0001-8710-0829
Christophe BaudouinHôpital National de la Vision des 15-20, INSERM-DGOS CIC 1423, IHU FOReSIGHT, Paris, France.
Marina Atanaskovic-MarkovicFaculty of Medicine, University Children's Hospital of Belgrade, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0003-1354-6072
Vibha SharmaRoyal Manchester Children's Hospital, Manchester, UK.ORCID https://orcid.org/0009-0006-7109-7120
Serge DoanOphthalmology, Fondation A de Rothschild and Hôpital Bichat, Paris, France.
Shweta AgarwalCJ Shah Cornea Services/Dr G Sitalakshmi Memorial Clinic for Ocular Surface Disorders, Medical Research Foundation, Chennai, Tamil Nadu, India.
Daniel Pérez-FormigoDepartment of Ophthalmology, Hospital Universitario de Torrejon, Madrid, Spain.
Maria Joao VasconcelosUnidade de Imunoalergologia, Hospital Lusíadas Porto, Lusíadas Saúde, Porto, Portugal.
Francoise-Brignole BaudouinHôpital National de la Vision des 15-20, INSERM-DGOS CIC 1423, IHU FOReSIGHT, Paris, France.
Gonzalo ChorzepaSanatorio Parque, Rosario, Argentina.
Jean-Luc FauquertPediatric Allergy Unit, University Hospital Center Estaing, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.
Virginia CalderUCL Institute of Ophthalmology, London, UK.
Pascal DemolyDivision of Allergy, Department of Pulmonology, Allergy and Thoracic Oncology, University Hospital of Montpellier, Montpellier, France.ORCID https://orcid.org/0000-0001-7827-7964
Luis DelgadoBasic and Clinical Immunology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal.

Funding

EAACI ExCom
6 · The paper itself

Abstract

Various systemic and topical medications can induce ocular and periocular cutaneous adverse effects (AEs), ranging from mild to severe. These AEs may lead to ocular surface (OS) damage and, in some cases, life-threatening complications. Drug-induced ocular adverse reactions are generally classified into two primary categories: toxic reactions and/or allergic hypersensitivity reactions, which can be IgE or non-IgE-mediated. Systemic antibiotics, antivirals, and anticonvulsants can trigger adverse reactions that may involve the OS. Drugs like antihistamines, beta-blockers, antipsychotics, antidepressants, and isotretinoin are linked to dry eye disease. Topical treatments-including antibiotics, antiglaucoma medications, preservatives, contact lens solutions, and cosmetics-may elicit allergic or toxic ocular diseases. Recent evidence implicates ocular surface AEs in patients undergoing biological treatments for oncological diseases and atopic dermatitis. Epidermal growth factor receptor inhibitors, used in the treatment of several cancers, have been associated with conjunctivitis, meibomitis, dry eye, periocular skin changes, and trichomegaly. Similarly, dupilumab, the first biologic approved for treating moderate-to-severe atopic dermatitis, has also been linked to OS disease with blepharoconjunctivitis. This position paper provides a comprehensive overview of the clinical presentations, diagnostic approaches, and treatment strategies for drug-induced ocular AEs, integrating the latest literature and clinical guidelines.

Indexed as

Drug-Related Side Effects and Adverse ReactionsEye DiseasesDry Eye SyndromesHumansbiological treatmentsdrug related blepharoconjunctivitisocular allergyocular drug hypersensitivity reactionssevere cutaneous adverse reactions

Identifiers

PMID41025570
PMCPMC12590328

What OpenQuestion holds

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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.