Studies have shown that ocular surface disease (OSD) is common among patients with glaucoma with a prevalence of 50% or more. The percentage of affected patients appears to increase with increasing number of topical anti-glaucoma products instilled. Both pre-clinical and clinical work has indicated that the preservatives used in anti-glaucoma drops, particularly benzalkonium chloride, are mainly responsible for this detrimental effect. As such more and more anti-glaucoma drugs without preservatives entered the market. To prove that switching from preserved to unpreserved antiglaucoma medication improves the signs and symptom of OSD is, however, not easy. This is on the one hand related to the physiological variability of these parameters over time and on the other hand to the poor association between signs and symptoms. Recently, a new method for measuring tear film thickness (TFT) using ultra-high resolution optical coherence tomography (OCT) has been introduced. Using this method, it has been shown that there is a correlation between reduced TFT and OSD symptoms. In the present study, it is hypothesized that changing patients who are on preserved prostaglandin formulations to preservative free tafluprost may be associated with an increase in TFT.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Tafluprost 15µg/ml (Saflutan® 15 microgram/ml Augentropfen im Einzeldosisbehältnis, Merck Sharp \& Dohme, Wien)
Ordination Dr. Hommer
Vienna, Austria
Tear film thickness
Measurement of tear film thickness using OCT
Time frame: Change from baseline tear film thickness at 4 and 12 weeks
Intraocular pressure (IOP)
Measurement of IOP using Goldmann applanation tonometry
Time frame: Change from baseline IOP at 4 and 12 weeks
Ocular Surface Disease Index (OSDI)
Subjective symptom questionnaire
Time frame: Change from baseline OSDI at 4 and 12 weeks
Dry-Eye Related Quality of Life Score (DEQS)
Subjective symptom questionnaire
Time frame: Change from baseline DEQS at 4 and 12 weeks
Tear Break Up Time (BUT)
Assessment of BUT in seconds using fluorescein eye drops at the slit lamp.
Time frame: Change from baseline BUT at 4 and 12 weeks
Schirmer Test 1
Wetting of Schirmer test strips within 5 minutes without topical anaesthesia.
Time frame: Change from Schirmer Test 1 at 4 and 12 weeks
Tear film osmolarity
Tear film osmolarity will be assessed using the TearLab Osmolarity Test.
Time frame: Change from baseline tear film osmolarity at 4 and 12 weeks
Corneal fluorescein staining
Corneal fluorescein staining will be assessed after instillation of fluorescein eye drops at the slit lamp.
Time frame: Change from baseline corneal fluorescein staining at 4 and 12 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.