Evidence map›Paper›PMID 41689622›Full record

ReviewOphthalmology and therapy2026

Global Perspectives on Therapy for Noninfectious Conjunctival Hyperemia: A Narrative Review.

Melissa Toyos, Clara C Chan, Jorge L Alio, Kelvin Kam Lung Chong, Don Pek, Serge Doan, Mazen Sinjab, Mohamed Hosny, Elisabeth M Messmer, Giuseppe Giannaccare

Abstract readReview
In one paragraph

Review in Ophthalmology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Melissa ToyosToyos Clinic, Nashville, TN, USA. mtoyos@toyosclinic.com.
Clara C ChanDepartment of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada.
Jorge L AlioUniversity Miguel Hernandez, Elche, Spain.
Kelvin Kam Lung ChongDepartment of Ophthalmology and Visual Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Sha Tin, Hong Kong.
Don PekLumin Eye Specialists Pte. Ltd., Singapore, Singapore.
Serge DoanA de Rothschild Foundation and Bichat Claude-Bernard Hospital, Paris, France.
Mazen SinjabDr. Sulaiman Al Habib Hospital, DHCC, Dubai, UAE.
Mohamed HosnyCairo University, Giza, Egypt.
Elisabeth M MessmerDepartment of Ophthalmology, Ludwig Maximilians University, Munich, Germany.
Giuseppe GiannaccareEye Clinic, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conjunctival hyperemia is one of the most frequent ophthalmologic presentations and may adversely affect quality of life due to associated discomfort and aesthetic concerns. In many countries, the prevalence of noninfectious conjunctival hyperemia is increasing due to lifestyle factors and the shift to technology-based employment. Management of noninfectious conjunctival hyperemia is typically aimed at addressing the underlying cause while alleviating signs and symptoms. However, an underlying cause might not be identified, treatment may not immediately reduce redness, or residual redness might persist. Topical treatment options include lubricants, decongestants, antihistamines/mast cell stabilizers, and anti-inflammatory drugs. Among these, ocular decongestants provide effective short-term relief, but the use of α1- (phenylephrine, tetrahydrozoline) or mixed α1/α2- (naphazoline, oxymetazoline) adrenergic receptor agonists is associated with tachyphylaxis and rebound redness. A highly selective α2- adrenergic receptor agonist (brimonidine 0.025%) reduces ocular redness without evidence of tachyphylaxis over 29 days and with minimal rebound redness upon discontinuation; however, longer-term effectiveness has not been evaluated. Other unmet needs pertain to the management of noninfectious conjunctival hyperemia as an aesthetic issue and the need to educate patients about the risks of surgical eye-whitening procedures and national recalls. Region- or country-specific unmet needs include a lack of awareness of the need for clinical assessment and appropriate treatment of ocular redness. While many cases of noninfectious conjunctival hyperemia can be self-treated, unmet needs remain with respect to access to care and patient awareness/knowledge of safe and appropriate treatment options and the importance of clinical consultation. The development of management guidelines specific to noninfectious conjunctival hyperemia is warranted to address patients' clinical and aesthetic concerns.

Indexed as

ConjunctivitisDecongestantsHealth services accessibilityRed eyeRednessVenous engorgement

Identifiers

PMID41689622
PMCPMC12976222

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.