Evidence map›Paper›PMID 41116973›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2025

GLP-1R Agonists Improve Ocular Surface Parameters in Type 2 Diabetes Mellitus.

Giovanni Ottonelli, Alessandro Gaeta, Novella Montericcio, Costanza Tredici, Vittoria Ortfeldt, Maria Francesca Birtolo, Simona Jaafar, Marco Mirani, Alessandra Di Maria

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
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  6. 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

9 authors.

Giovanni OttonelliDepartment of Ophthalmology, IRCCS Humanitas Research Hospital, Milan, 20089, Italy.
Alessandro GaetaDepartment of Internal Medicine and Medical Specialties (DIMI), Università Di Genova, Genova, 16132, Italy.ORCID 0000-0002-8714-4052
Novella MontericcioBiomedicine, Neuroscience and Advance Diagnostic (BIND) Department, University of Palermo, Palermo, 90133, Italy.ORCID 0009-0005-3765-060X
Costanza TrediciDepartment of Ophthalmology, IRCCS Humanitas Research Hospital, Milan, 20089, Italy.
Vittoria OrtfeldtDepartment of Biomedical Sciences, Humanitas University, Milan, 20072, Italy.
Maria Francesca BirtoloDepartment of Biomedical Sciences, Humanitas University, Milan, 20072, Italy.ORCID 0000-0001-8100-8394
Simona JaafarDepartment of Biomedical Sciences, Humanitas University, Milan, 20072, Italy.ORCID 0009-0002-6045-2992
Marco MiraniEndocrinology, Diabetology and Medical Andrology Unit, IRCCS, Humanitas Research Hospital, Milan, 20089, Italy.ORCID 0000-0002-4187-5378
Alessandra Di MariaDepartment of Ophthalmology, IRCCS Humanitas Research Hospital, Milan, 20089, Italy.ORCID 0000-0002-4889-6315

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Dry eye disease (DED) is a prevalent ocular surface disorder frequently associated with type 2 diabetes mellitus (T2DM). While glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have demonstrated systemic anti-inflammatory and vascular benefits beyond glycemic control, their potential impact on tear film parameters remains largely unexplored. This study aimed to evaluate the effects of GLP-1 RAs on ocular surface health in patients with T2DM. Materials and Methods: In this single-center case-control study, 35 patients with T2DM receiving glucose-lowering therapies were enrolled. Participants were divided into two groups: 21 patients treated with GLP-1 RAs (alone or in combination with other agents) and 14 patients treated with non-GLP-1 RA glucose-lowering medications. Ocular surface parameters-including Schirmer I test and tear breakup time (TBUT)-were assessed and compared between groups. Results: Patients receiving GLP-1 RAs demonstrated significantly higher Schirmer I test values (median 15 mm, range 1-33) compared to non-GLP-1 RA users (median 7.5 mm, range 0-40; Conclusion: GLP-1 receptor agonist therapy is associated with improved tear production and tear film stability in patients with type 2 diabetes, suggesting a potential protective effect on the ocular surface. These findings highlight an emerging link between antidiabetic therapies and ocular surface health. Prospective, larger-scale studies are warranted to validate these preliminary results and investigate underlying mechanisms.

Indexed as

antidiabetic therapydry eye diseaseGLP-1 receptor agonistsocular surfacereal-world evidenceschirmer testsemaglutideT-BUTtear filmtype 2 diabetes mellitus

Identifiers

PMID41116973
PMCPMC12535700

What Socratic holds

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Registered trials

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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 Socratic graph.