Millions of people suffer from dry eye disease, causing symptoms such as redness, burning, feeling of sand or grit in the eye and light sensitivity. Dry eye disease occurs when your eyes do not produce enough tears or produce poor quality tears. This can happen for a number of reasons, including aging, hormonal changes in women and side effects of diseases or medications. It is now possible to objectively measure the degree of dry eye disease by collecting a tiny sample of tears from the corner of the eye and then measuring the amount of salt in the tears (termed osmolarity). We aim to establish the overall levels of raised and normal tear osmolarity in people presenting to the eye clinic with complaints of dry eye, and relate this to other factors such as symptoms, topical and nutritional medication and dry eye treatment.
This study will investigate the efficacy of two treatment non-pharmaceutical therapies (tear drop alone, tear drop combined with omega 3 nutritional supplement and warm compresses) for dry eye reporting patients against a control (saline) over a 3 month period. A relatively new clinical measure (osmolarity) will be performed alongside traditional tear film volume, tear film stability, gland integrity and ocular surface damage measures to determine how this influences symptomatic complaints.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
Application as required to improve comfort
Application as required to improve comfort
Taken each day
Applied following microwave heating to closed eyelids for 5 minutes each day
Application as required to improve comfort
Robert Frith Opticians
Shaftesbury, Dorest, United Kingdom
Robert Frith Opticians
Blandford Forum, Dorset, United Kingdom
Robert Frith Opticians
Gillingham, Dorset, United Kingdom
Robert Frith Opticians
Twickenham, Middlesex, United Kingdom
Black & Lizars Optometrists
Ayr, United Kingdom
Black & Lizars Optometrists
Glasgow, United Kingdom
Osmolarity change
Salt balance in tears measured with the Tearlab
Time frame: 3 months
Tear break-up time change
Tear stability following a blink
Time frame: 3 months
Corneal staining change
Fluorescein dye applied to the ocular surface and observed with blue light and a yellow filter to observe staining fluorescence
Time frame: 3 months
Meibomian gland change
Grading of meibomian glands using Oxford scale
Time frame: 3 months
Tear Meniscus Height
Height of tear meniscus along the lower lid margin observed through a slit-lamp microscope
Time frame: 3 months
SPEED Questionnaire change
Dry eye symptomology questionnaire
Time frame: 3 months
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