By Associate Professor Maria Markoulli

Journal articles

Kandel H; Stapleton F; Downie LE; Chidi‐Egboka NC; MIngo-Botin D; Arnalich-Montiel F; Rauz S; Recchioni A; Sitaula S; Markoulli M; Daien V; Babeau F; Geerling G; Craig JP; Watson SL, 2025, 'The impact of dry eye disease on patient-reported quality of life: A Save Sight Dry Eye Registry study', Ocular Surface, 37, pp. 11 - 23, http://dx.doi.org/10.1016/j.jtos.2025.02.005

Jones L; Craig JP; Markoulli M; Karpecki P; Akpek EK; Basu S; Bitton E; Chen W; Dhaliwal DK; Dogru M; Gomes JAP; Koehler M; Mehta JS; Perez VL; Stapleton F; Sullivan DA; Tauber J; Tong L; Travé-Huarte S; Wolffsohn JS; Alves M; Baudouin C; Downie L; Giannaccare G; Horwath-Winter J; Liu Z; Koh S; Elisabeth M; Otero E; Villani E; Watson S; Yoon KC, 2025, 'TFOS DEWS III Management and Therapy Report.', Am J Ophthalmol, http://dx.doi.org/10.1016/j.ajo.2025.05.039

Tsoi AT; Sng J; Tummanapalli SS; Issar T; Poynten AM; Milner KL; Markoulli M; Dhanapalaratnam R; Krishnan AV, 2025, 'Metformin therapy modifies corneal neuroimmune abnormalities in people with type 2 diabetes', Diabetologia, 68, pp. 1329 - 1334, http://dx.doi.org/10.1007/s00125-025-06399-2

Chidi-Egboka NC; Fan L; Qureshi M; Samarawickrama C; Stapleton F; Trinh T; Markoulli M; Chan E; Chen JY; Holland J; Watson SL, 2025, 'Evidence on the Use of Topical Ciclosporin for Ocular Surface Disease: A Systematic Review and Meta-Analysis-Response.', Clin Exp Ophthalmol, http://dx.doi.org/10.1111/ceo.14558

Md Isa NA; Krishnan AV; Zagami AS; Tummanapalli SS; Spira K; Papas EB; Tavakoli A; Markoulli M, 2025, 'A randomized crossover trial: The impact of ocular lubrication on migraine severity in persons with dry eye disease and migraine', Optometry and Vision Science, 102, pp. 183 - 188, http://dx.doi.org/10.1097/OPX.0000000000002241

Waller SE; Stockwell JB; Fung VSC; Anstey KJ; Colebatch JG; Markoulli M; Krishnan AV, 2025, 'Topical review: Ocular surface abnormalities in neurodegenerative disorders', Optometry and Vision Science, 102, pp. 68 - 77, http://dx.doi.org/10.1097/OPX.0000000000002215

Chidi-Egboka NC; Fan L; Qureshi M; Samarawickrama C; Stapleton F; Trinh T; Markoulli M; Chan E; Chen JY; Holland J; Watson SL, 2025, 'Evidence on the Use of Topical Ciclosporin for Ocular Surface Disease: A Systematic Review and Meta-Analysis', Clinical and Experimental Ophthalmology, http://dx.doi.org/10.1111/ceo.14514

Khan S; Markoulli M; Tsoi AT; Willcox M, 2025, 'Exploring the efficacy of plant-based nutraceuticals in managing diabetic neuropathy', Inflammopharmacology, http://dx.doi.org/10.1007/s10787-025-01793-z

Alotaibi S; Papas E; Mobeen R; Ozkan J; Misra SL; Markoulli M, 2025, 'Tear film hTERT and corneal nerve characteristics in dry eye disease', Clinical and Experimental Optometry, 108, pp. 450 - 455, http://dx.doi.org/10.1080/08164622.2024.2354775

Valencia-Nieto L; Edwards K; Tavakoli A; González-García MJ; López-Miguel A; Dando S; Hui A; Markoulli M; Papas EB; Colorado LH, 2025, 'The association between corneal immune cell dynamics and comfort in silicone hydrogel contact lens wearers', Contact Lens and Anterior Eye, http://dx.doi.org/10.1016/j.clae.2025.102424

Tavakoli A; Flanagan J; Papas E; Markoulli M, 2025, 'The impact of probiotics and prebiotics on ocular and systemic inflammation in dry eye disease: a double-masked, randomised controlled trial', Clinical and Experimental Optometry, http://dx.doi.org/10.1080/08164622.2025.2502529

Tummanapalli SS; Wang LL; Dhanapalaratnam R; Poynten A; Papas EB; Krishnan AV; Markoulli M, 2024, 'Moderate-severe peripheral neuropathy in diabetes associated with an increased risk of dry eye disease', Optometry and Vision Science, 101, pp. 563 - 570, http://dx.doi.org/10.1097/OPX.0000000000002178

Wolffsohn JS; Naroo SA; Bullimore MA; Craig JP; Davies LN; Markoulli M; Schnider C; Morgan PB, 2024, 'BCLA CLEAR Presbyopia: Definitions', Contact Lens and Anterior Eye, 47, http://dx.doi.org/10.1016/j.clae.2024.102155

Markoulli M; Fricke TR; Arvind A; Frick KD; Hart KM; Joshi MR; Kandel H; Filipe Macedo A; Makrynioti D; Retallic N; Garcia-Porta N; Shrestha G; Wolffsohn JS, 2024, 'BCLA CLEAR Presbyopia: Epidemiology and impact', Contact Lens and Anterior Eye, 47, http://dx.doi.org/10.1016/j.clae.2024.102157

Morgan PB; Efron N; Papas E; Barnett M; Carnt N; Dutta D; Hepworth A; Little JA; Nagra M; Pult H; Schweizer H; Shen Lee B; Subbaraman LN; Sulley A; Thompson A; Webster A; Markoulli M, 2024, 'BCLA CLEAR Presbyopia: Management with contact lenses and spectacles', Contact Lens and Anterior Eye, 47, http://dx.doi.org/10.1016/j.clae.2024.102158

Asiedu K; Tummanapalli SS; Alotaibi S; Wang LL; Dhanapalaratnam R; Kwai N; Poynten A; Markoulli M; Krishnan AV, 2024, 'Impact of SGLT2 Inhibitors on Corneal Nerve Morphology and Dendritic Cell Density in Type 2 Diabetes', Ocular Immunology and Inflammation, 32, pp. 234 - 241, http://dx.doi.org/10.1080/09273948.2023.2263789

Alotaibi S; Papas E; Ozkan J; Misra SL; Markoulli M, 2023, 'Behaviour of hTERT in the tears of neophyte contact lens wearers during the sleep/wake cycle', Contact Lens and Anterior Eye, 46, http://dx.doi.org/10.1016/j.clae.2023.102060

Chiang JCB; Roy M; Kim J; Markoulli M; Krishnan AV, 2023, 'In-vivo corneal confocal microscopy: Imaging analysis, biological insights and future directions', Communications Biology, 6, http://dx.doi.org/10.1038/s42003-023-05005-8

Md Isa NA; Tummanapalli SS; Chiang JCB; Krishnan AV; Zagami AS; Papas EB; Markoulli M; Spira K, 2023, 'Neuropathic changes in corneal nerve endings—A potential objective biomarker for migraine frequency and response to treatment', Headache, 63, pp. 1327 - 1329, http://dx.doi.org/10.1111/head.14630

Craig JP; Alves M; Wolffsohn JS; Downie LE; Efron N; Galor A; Gomes JAP; Jones L; Markoulli M; Stapleton F; Starr CE; Sullivan AG; Willcox MDP; Sullivan DA, 2023, 'TFOS Lifestyle Report Executive Summary: A Lifestyle Epidemic - Ocular Surface Disease', Ocular Surface, 30, pp. 240 - 253, http://dx.doi.org/10.1016/j.jtos.2023.08.009

Asiedu K; Alotaibi S; Krishnan AV; Kwai N; Poynten A; Markoulli M; Dhanapalaratnam R, 2023, 'Chronic Kidney Disease Has No Impact on Tear Film Substance P Concentration in Type 2 Diabetes', Biomedicines, 11, http://dx.doi.org/10.3390/biomedicines11092368

Sullivan DA; da Costa AX; Del Duca E; Doll T; Grupcheva CN; Lazreg S; Liu SH; McGee SR; Murthy R; Narang P; Ng A; Nistico S; O'Dell L; Roos J; Shen J; Markoulli M, 2023, 'TFOS Lifestyle: Impact of cosmetics on the ocular surface', Ocular Surface, 29, pp. 77 - 130, http://dx.doi.org/10.1016/j.jtos.2023.04.005

Markoulli M; Ahmad S; Arcot J; Arita R; Benitez-del-Castillo J; Caffery B; Downie LE; Edwards K; Flanagan J; Labetoulle M; Misra SL; Mrugacz M; Singh S; Sheppard J; Vehof J; Versura P; Willcox MDP; Ziemanski J; Wolffsohn JS, 2023, 'TFOS Lifestyle: Impact of nutrition on the ocular surface: TFOS Lifestyle Workshop: Nutrition report', Ocular Surface, 29, pp. 226 - 271, http://dx.doi.org/10.1016/j.jtos.2023.04.003

Craig JP; Alves M; Wolffsohn JS; Downie LE; Efron N; Galor A; Gomes JAP; Jones L; Markoulli M; Stapleton F; Starr CE; Sullivan AG; Willcox MDP; Sullivan DA, 2023, 'TFOS Lifestyle Report Introduction: A Lifestyle Epidemic - Ocular Surface Disease', Ocular Surface, 28, pp. 304 - 309, http://dx.doi.org/10.1016/j.jtos.2023.04.014

Asiedu K; Krishnan AV; Kwai N; Poynten A; Markoulli M, 2023, 'Conjunctival microcirculation in ocular and systemic microvascular disease', Clinical and Experimental Optometry, 106, pp. 694 - 702, http://dx.doi.org/10.1080/08164622.2022.2151872

Asiedu K; Markoulli M; Tummanapalli SS; Chiang JCB; Alotaibi S; Wang LL; Dhanapalaratnam R; Kwai N; Poynten A; Krishnan AV, 2023, 'Impact of Chronic Kidney Disease on Corneal Neuroimmune Features in Type 2 Diabetes', Journal of Clinical Medicine, 12, http://dx.doi.org/10.3390/jcm12010016

Chiang JCB; Khou V; Tavakoli A; Park SB; Goldstein D; Krishnan AV; Markoulli M, 2022, 'Reproducibility and Reliability of Subbasal Corneal Nerve Parameters of the Inferior Whorl in the Neurotoxic and Healthy Cornea', Cornea, 41, pp. 1487 - 1494, http://dx.doi.org/10.1097/ICO.0000000000002947

Markoulli M; Wong K; Jia T; Siddireddy JS; Briggs N; Tan J, 2022, 'The effect of hydroxypropyl-guar nanoemulsion on signs and symptoms of dry eye', Contact Lens and Anterior Eye, 45, http://dx.doi.org/10.1016/j.clae.2022.101736

Asiedu K; Dhanapalaratnam R; Krishnan AV; Kwai N; Poynten A; Markoulli M, 2022, 'Impact of Peripheral and Corneal Neuropathy on Markers of Ocular Surface Discomfort in Diabetic Chronic Kidney Disease', Optometry and Vision Science, 99, pp. 807 - 816, http://dx.doi.org/10.1097/OPX.0000000000001955

Chiang JCB; Goldstein D; Trinh T; Au K; Park SB; Krishnan AV; Markoulli M, 2022, 'Tear film substance P in patients treated with neurotoxic chemotherapy', Experimental Eye Research, 224, http://dx.doi.org/10.1016/j.exer.2022.109253

Tavakoli A; Markoulli M; Papas E; Flanagan J, 2022, 'The Impact of Probiotics and Prebiotics on Dry Eye Disease Signs and Symptoms', Journal of Clinical Medicine, 11, http://dx.doi.org/10.3390/jcm11164889

Chiang JCB; Arnold R; Dhanapalaratnam R; Markoulli M; Krishnan AV, 2022, 'Current and Emerging Pharmacotherapeutic Interventions for the Treatment of Peripheral Nerve Disorders', Pharmaceuticals, 15, pp. 607, http://dx.doi.org/10.3390/ph15050607

Asiedu K; Markoulli M; Bonini S; Bron AJ; Dogru M; Kwai N; Poynten A; Willcox MDP; Krishnan AV, 2022, 'Tear film and ocular surface neuropeptides: Characteristics, synthesis, signaling and implications for ocular surface and systemic diseases', Experimental Eye Research, 218, http://dx.doi.org/10.1016/j.exer.2022.108973

Klisser J; Tummanapalli SS; Kim J; Chiang JCB; Khou V; Issar T; Naduvilath T; Poynten AM; Markoulli M; Krishnan AV, 2022, 'Automated analysis of corneal nerve tortuosity in diabetes: implications for neuropathy detection', Clinical and Experimental Optometry, 105, pp. 487 - 493, http://dx.doi.org/10.1080/08164622.2021.1940875

Alotaibi S; Markoulli M; Ozkan J; Papas E, 2022, 'Bio-chemical markers of chronic, non-infectious disease in the human tear film', Clinical and Experimental Optometry, 105, pp. 166 - 176, http://dx.doi.org/10.1080/08164622.2021.1974282

Dhanapalaratnam R; Markoulli M; Krishnan AV, 2022, 'Disorders of vision in multiple sclerosis', Clinical and Experimental Optometry, 105, pp. 3 - 12, http://dx.doi.org/10.1080/08164622.2021.1947745

Alotaibi S; Ozkan J; Papas E; Markoulli M, 2022, 'Diurnal Variation of Corneal Dendritic Cell Density', Current Eye Research, 47, pp. 1239 - 1245, http://dx.doi.org/10.1080/02713683.2022.2088799

Edwards K; Dehghani C; Markoulli M, 2022, 'Ocular implications of systemic disease', Clinical and Experimental Optometry, 105, pp. 103 - 104, http://dx.doi.org/10.1080/08164622.2021.2022962

Chiang JCB; Krishnan AV; Goldstein D; Markoulli M, 2022, 'The Impact of Post-Tear Collection Storage on Tear Film Substance P Concentration', Current Eye Research, 47, pp. 1116 - 1120, http://dx.doi.org/10.1080/02713683.2022.2067565

Tavakoli A; Markoulli M; Flanagan J; Papas E, 2022, 'The validity of point of care tear film osmometers in the diagnosis of dry eye', Ophthalmic and Physiological Optics, 42, pp. 140 - 148, http://dx.doi.org/10.1111/opo.12901

Chiang JCB; Goldstein D; Trinh T; Au K; Park SB; Krishnan AV; Markoulli M, 2021, 'A cross-sectional study of ocular surface discomfort and corneal nerve dysfunction after paclitaxel treatment for cancer', Scientific Reports, 11, pp. 1786, http://dx.doi.org/10.1038/s41598-021-81398-y

Chiang JCB; Goldstein D; Tavakoli A; Trinh T; Klisser J; Lewis CR; Friedlander M; Naduvilath TJ; Au K; Park SB; Krishnan AV; Markoulli M; Tavakkolinasab A, 2021, 'Corneal dendritic cells and the subbasal nerve plexus following neurotoxic treatment with oxaliplatin or paclitaxel', Scientific Reports, 11, pp. 22884, http://dx.doi.org/10.1038/s41598-021-02439-0

Alghamdi WM; Markoulli M; Papas EB, 2021, 'Filaggrin Expression in the Lid Margin During Contact Lens Wear', Eye and Contact Lens, 47, pp. 638 - 641, http://dx.doi.org/10.1097/ICL.0000000000000805

Khou V; Ly A; Moore L; Markoulli M; Kalloniatis M; Yapp M; Hennessy M; Zangerl B, 2021, 'Review of referrals reveal the impact of referral content on the triage and management of ophthalmology wait lists', BMJ Open, 11, pp. e047246, http://dx.doi.org/10.1136/bmjopen-2020-047246

Chiang JCB; Goldstein D; Park SB; Krishnan AV; Markoulli M, 2021, 'Corneal nerve changes following treatment with neurotoxic anticancer drugs', Ocular Surface, 21, pp. 221 - 237, http://dx.doi.org/10.1016/j.jtos.2021.06.007

Issar T; Tummanapalli SS; Borire AA; Kwai NCG; Poynten AM; Arnold R; Markoulli M; Krishnan AV, 2021, 'Impact of the metabolic syndrome on peripheral nerve structure and function in type 2 diabetes', European Journal of Neurology, 28, pp. 2074 - 2082, http://dx.doi.org/10.1111/ene.14805

Chiang JCB; Goldstein D; Trinh T; Au K; Mizrahi D; Muhlmann M; Crowe P; O’neill S; Edwards K; Park SB; Krishnan AV; Markoulli M, 2021, 'A cross-sectional study of sub-basal corneal nerve reduction following neurotoxic chemotherapy', Translational Vision Science and Technology, 10, pp. 1 - 11, http://dx.doi.org/10.1167/tvst.10.1.24

Markoulli M; Fedtke C; Coroneo M; Kalloniatis M; Whatham A; Yapp M; Zangerl B, 2021, 'Clinical utility of irx3 in keratoconus', Clinical and Experimental Optometry, 104, pp. 107 - 114, http://dx.doi.org/10.1111/cxo.13133

Markoulli M; Chandramohan N; Papas EB, 2021, 'Photobiomodulation (low-level light therapy) and dry eye disease', Clinical and Experimental Optometry, 104, pp. 561 - 566, http://dx.doi.org/10.1080/08164622.2021.1878866

Li C; Zhou Z; Neuen BL; Yu J; Huang Y; Young T; Li J; Li L; Perkovic V; Jardine MJ; Keay L; Markoulli M; Rosenthal N; Capuano G; Yavin Y; Neal B; Arnott C, 2021, 'Sodium-glucose co-transporter-2 inhibition and ocular outcomes in patients with type 2 diabetes: A systematic review and meta-analysis', Diabetes Obesity and Metabolism, 23, pp. 252 - 257, http://dx.doi.org/10.1111/dom.14197

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