Evidence map›Paper›PMID 42274970›Full record

Observational studyJapanese journal of ophthalmology2026

Surgical procedures and outcomes in patients with tear drainage system disorders associated with the anticancer agent S-1.

Tsugihisa Sasaki, Tsutomu Sounou, Tomomi Higashide

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Japanese journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Tsugihisa SasakiSasaki Eye Clinic, 5-2-6 Mikuni-higashi, Mikuni, Sakai, 913-0016, Japan. sasatsug@gmail.com.
Tsutomu SounouDepartment of Ophthalmology, Kanazawa University School of Medicine, 13-5 Takara-machi, Kanazawa, Japan.
Tomomi HigashideDepartment of Ophthalmology, Kanazawa University School of Medicine, 13-5 Takara-machi, Kanazawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeS-1 is a first-line oral anti-cancer drug widely used in Japan. This study evaluated surgical outcomes for S-1-associated tear drainage system disorders (S-1/TDSD) and explored strategies to improve outcomes. STUDY

designMulticenter, retrospective observational study.

methodsFifty-one patients (89 sides; 31 men and 20 women; mean age ± SD, 68.7 ± 10.7 years; range 49─85 years) with S-1/TDSD were included. Surgical procedures performed were: three-snip procedure; exploratory horizontal part canaliculotomy; probing with tube placement; and conjunctivodacryocystorhinostomy with Jones tube insertion.

resultsThe cases were classified as: punctal occlusion (Group a, 34 sides), both stenosed canaliculi (Group b, 2 sides), patent canaliculus and mono-canalicular obstruction (CO) (Group c, 9 sides), one soft or tightCO and contralateral softCO (Group d, 13 sides), tightCOs in both canaliculi (Group e, 27 sides), and common CO (Group f, 4 sides). The three-snip procedure for Group a was successful in 32 of 34 sides (94.1%). Probing with intubation for Group b was successful in all cases (2/2). Conjunctivodacryocystorhinostomy for Group e was successful in 15 of 20 sides (75.0%) and dacryoendoscopic canaliculo-incision for Group e was successful in 4 of 4 sides (100%). However, exploratory horizontal part canaliculotomy and probing for Groups c and d were successful in 14%─42% of cases.

conclusionThe three-snip procedure for punctal occlusions showed favorable outcomes but procedures preserving the canaliculus, especially in patients with horizontal CO, did not yield good results, even for an affected single canaliculus.

Indexed as

Antimetabolites, AntineoplasticDacryocystorhinostomyLacrimal ApparatusLacrimal Apparatus DiseasesLacrimal Duct ObstructionOxonic AcidTegafurAgedAged, 80 and overDrug CombinationsFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesAntimetabolites, AntineoplasticDrug CombinationsOxonic AcidS 1 (combination)TegafurCanalicular obstructionCanalicular sclerosisDacryoendoscopeExploratory horizontal part canaliculotomyS-1

Identifiers

PMID42274970
PMCPMC13615913

What OpenQuestion holds

Textmetadata
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.