Dry eye syndrome (DES) is a highly prevalent ocular condition inducing an inflammatory response of the ocular surface. Common symptoms include ocular discomfort, visual impairment and instability of the tear film with potential damage to the ocular surface. The rationale of the present study is to compare signs as assessed with new methods such as measurement of tear film thickness, tear film osmolarity and scattering of the tear film with well established methods for assessment of the severity of DES (Break up time, staining of the cornea with fluorescein). Additionally, impression cytology and determination of tear cytokines/chemokines will be performed to obtain information about inflammatory processes on the ocular surface.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
50
Tear film thickness as measured with OCT
Department of Clinical Pharmacology, Medical University of Vienna
Vienna, Vienna, Austria
Break up time
break up time of the tear film measured in seconds
Time frame: once on the study day
Tear film thickness as measured with optical coherence tomography (OCT)
tear film thickness measured in micrometers
Time frame: once on the study day
Visual Acuity
Total number of letters read using ETDRS Charts
Time frame: once on the study day
Tear film osmolarity
Tear film osmolarity measured in mosmol/l
Time frame: once on the study day
OSI (Objective Scattering Index)
The objective scattering index will be measured using the OQAS system (Visiometrics, Spain)
Time frame: once on the study day
Staining of the cornea with fluorescein
The cornea will be divided into 5 regions (central, inferior, nasal, temporal, inferior) and each region will be graded from 0-4 in 0.5 steps as described in the Collaborative Longitudinal Evaluation of Keratoconus (CLEK) study.
Time frame: once on the study day
Impression cytology
After topical anesthesia of the eye, filter material is placed on the conjunctiva to obtain cytological samples, which will be prepared and evaluated.
Time frame: once on the study day
Tear cytokines/chemokines
Samples of 40 µl tears will be taken with a glass capillary and stored in vials. The concentrations of several cytokines and chemokines will be evaluated.
Time frame: once on the study day
Subjective symptoms of dry eye syndrome
a questionaire will be used
Time frame: once on the study day
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