Academic Journal

Temporal Variations in Inflammatory-Related Ocular Surface Parameters: A Systematic Review and Meta-Analysis.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Temporal Variations in Inflammatory-Related Ocular Surface Parameters: A Systematic Review and Meta-Analysis.
Συγγραφείς: Wu CY; Department of Optometry and Vision Sciences, The University of Melbourne, Carlton, Victoria, Australia.; Division of Pharmacy and Optometry, The University of Manchester, Manchester, United Kingdom., McGuinness MB; Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Makrai E; Department of Optometry and Vision Sciences, The University of Melbourne, Carlton, Victoria, Australia., McMillan P; Department of Optometry and Vision Sciences, The University of Melbourne, Carlton, Victoria, Australia., Kiburg K; Department of Optometry and Vision Sciences, The University of Melbourne, Carlton, Victoria, Australia.; Australian College of Optometry, Melbourne, Victoria, Australia.; National Vision Research Institute, Melbourne, Australia., Singh S; Department of Optometry and Vision Sciences, The University of Melbourne, Carlton, Victoria, Australia., Swiderska K; Division of Pharmacy and Optometry, The University of Manchester, Manchester, United Kingdom., Morgan PB; Division of Pharmacy and Optometry, The University of Manchester, Manchester, United Kingdom., Maldonado-Codina C; Division of Pharmacy and Optometry, The University of Manchester, Manchester, United Kingdom., Chinnery HR; Department of Optometry and Vision Sciences, The University of Melbourne, Carlton, Victoria, Australia., Downie LE; Department of Optometry and Vision Sciences, The University of Melbourne, Carlton, Victoria, Australia.
Πηγή: Investigative ophthalmology & visual science [Invest Ophthalmol Vis Sci] 2026 Sep 01; Vol. 67 (11), pp. 22.
Τύπος έκδοσης: Journal Article; Systematic Review; Meta-Analysis
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Association For Research In Vision And Ophthalmology (Arvo) Country of Publication: United States NLM ID: 7703701 Publication Model: Print Cited Medium: Internet ISSN: 1552-5783 (Electronic) Linking ISSN: 01460404 NLM ISO Abbreviation: Invest Ophthalmol Vis Sci Subsets: MEDLINE
Imprint Name(s): Publication: Brookline Ma : Association For Research In Vision And Ophthalmology (Arvo)
Original Publication: St. Louis, Mosby.
Ιατρικοί όροι (MeSH): Tears*/metabolism , Conjunctiva*/metabolism , Cornea*/metabolism , Circadian Rhythm*/physiology , Inflammation*/metabolism, Humans ; Neutrophils ; Leukocyte Count
Περίληψη: Purpose: This systematic review sought to identify, appraise, and synthesize data from studies that investigated inflammatory-related temporal changes, over a 12 ± 4-hour period, in the structure and/or function of ocular surface parameters in healthy individuals.
Methods: Comprehensive searches were performed in Ovid MEDLINE and Embase in December 2025. Two authors independently evaluated study eligibility and extracted data. For each parameter, the temporal mean difference (evening minus morning value) was derived. Findings were summarized using narrative syntheses and/or meta-analyses, informed by data availability.
Results: Forty-two studies (36 cross-sectional, 2 non-randomized interventional, and 4 randomized controlled trials, n = 706 participants) were included. There was very limited evidence (n = 1 study, narrative findings) relating to temporal variations in human corneal immune cell density. Neutrophil numbers in the palpebral conjunctiva, tear neutrophil gelatinase-associated lipocalin, and tear matrix metalloproteinase-9 levels were generally higher in the morning (n = 1 study, respectively, narrative findings). Meta-analysis suggested tear polymorphonuclear (PMN) leukocyte cell counts may be relatively higher in the morning (2 studies; mean difference: -6,526; 95% confidence interval [CI] = -8362 to -4691 cells, I2 = 0.00%). The certainty of the evidence (Grading of Recommendations, Assessment, Development and Evaluation [GRADE]) was judged as very low for all outcomes, due to risk-of-bias, insufficient studies, and/or low sample sizes.
Conclusions: Further to the availability of very low certainty evidence, it remains unclear whether the ocular surface inflammatory status in healthy individuals differs in the morning relative to the evening. Further research is required to understand the extent to which temporal factors affect the homeostasis of inflammatory-related ocular surface parameters in healthy individuals.
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Entry Date(s): Date Created: 20260914 Date Completed: 20260914 Latest Revision: 20260921
Update Code: 20260921
PubMed Central ID: PMC13589403
DOI: 10.1167/iovs.67.11.22
PMID: 42734307
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1552-5783
DOI:10.1167/iovs.67.11.22