Evidence map›Paper›PMID 41884911›Full record

Trial reportIndian journal of ophthalmology2026

Enhancing presbyopia treatment: A comparative study of 1% Pilocarpine monotherapy versus combination with 0.09% Bromfenac.

Anu Jain, Snigdha Sen, Merensoba T Imchen, Alok Gangwar, Mahipal Yadav, Preeti Dubey

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Indian journal of ophthalmology, 2026. 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

6 authors.

Anu JainDepartment of Ophthalmology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.
Snigdha Sen
Merensoba T Imchen
Alok Gangwar
Mahipal Yadav
Preeti Dubey

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPresbyopia, an age-related condition characterized by the gradual loss of near vision accommodation, affects a substantial portion of the global population. While Pilocarpine has demonstrated effectiveness in managing presbyopia, there is increasing interest in exploring combination therapies to enhance treatment efficacy and tolerability. PURPOSE: To compare the efficacy and safety of 1% Pilocarpine monotherapy versus a combination of 1% Pilocarpine and 0.09% Bromfenac for the treatment of presbyopia over an 8-week period.

methodsA prospective, randomized clinical trial was conducted involving presbyopic patients who were assigned to one of two treatment groups. Evaluations were performed to assess near visual acuity, accommodative function, patient satisfaction, safety, and compliance.

resultsBoth treatment groups showed significant improvements in near vision function. At the 8-week mark, 44.1% of patients in the Pilocarpine-only group and 78.6% of those in the combination therapy group achieved N6 near vision. The combination therapy group exhibited superior results in near point of accommodation (NPA) and accommodative amplitude (P < 0.05). Patient satisfaction improved similarly in both groups. However, the combination therapy group reported fewer adverse events (1.8% vs. 11.9%, P < 0.05) and higher treatment compliance (96.4% vs. 64.4%, P < 0.001).

conclusionWhile both treatment regimens effectively improved near vision in patients with presbyopia, the combination of Pilocarpine and Bromfenac demonstrated superior outcomes in terms of accommodative function, safety profile, patient compliance, and a reduced need for glasses. These results suggest that this combination therapy may offer a more effective pharmacological approach to the management of presbyopia.

Indexed as

Accommodation, OcularBenzophenonesBromobenzenesPilocarpinePresbyopiaVisual AcuityAgedDose-Response Relationship, DrugDrug Therapy, CombinationFemaleFollow-Up StudiesHumansMaleMiddle AgedMioticsMuscarinic AgonistsBenzophenonesbromfenacBromobenzenesMioticsMuscarinic AgonistsOphthalmic SolutionsPilocarpineBromfenaccombination therapymonotherapynear visionpharmacological managementPilocarpinepresbyopia

Identifiers

PMID41884911
PMCPMC13056040

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.