Efficacy of Two Concentrations of Autologous Serum for the Treatment of Severe Dry Eye

Pontificia Universidad Catolica de Chile20 enrolled

Overview

The purpose of this study is to compare the effects of autologous serum 20% and autologous serum 50% for the treatment of Severe Dry Eye Syndrome

To determine the difference between autologous serum 20% vs 50%, in terms of improvement of symptoms, improvement of ocular surface parameters and acceptable tolerability in patients with severe dry eye syndrome.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Dry Eye Keratoconjunctivitis Sicca Sjogren's Syndrome Corneal Diseases Conjunctival Diseases Keratitis Lacrimal Apparatus Diseases

Interventions

Autologous Serum 20%DRUG

Instillation of 1 drop of Autologous Serum 20% four times a day

Autologous Serum 50%DRUG

Instillation of 1 drop of Autologous Serum 50% four times a day

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Man/woman ≥ 18 years old, able to freely give consent to participate in the study * At least 1 of the following tests altered: * Ocular Surface Disease Index (OSDI) Test symptoms \> 32 * BUT ≤5 seconds * Oxford staining ≥ 3 * Schirmer Test without anesthesia ≤ 5 mm Exclusion Criteria: * Sensitivity or known intolerance to any of the products used in the study * Contraindication of venipuncture * Story of ocular infections within the 6 previous months to study inclusion * Any active ocular pathology other than Dry Eye Syndrome * Use of contact lenses in the 3 previous months to study inclusion * No pregnant or breastfeeding women is allowed to participate in the study. Childbearing potential women must use contraceptive means during the whole study. * Participation in another clinical trial in the last 30 days before study inclusion

Locations (1)

Hospital Dr. Sótero del Río

Puente Alto, Santiago Metropolitan, Chile

Outcomes

Primary Outcomes

Change in Ocular Surface Disease Index (OSDI) Score

The Ocular Surface Disease Index (OSDI) is a 12-item questionnaire designed to provide a rapid assessment of the symptoms of ocular irritation consistent with dry eye disease and their impact on vision-related functioning. The overall OSDI score defines the ocular surface as normal (0-12 points) or as having mild (13-22 points), moderate (23-32 points), or severe (33-100 points) disease.

Time frame: 1 month

Secondary Outcomes

Change in Tear Break Up Time (TBUT)

The TBUT is based on the time of tear rupture after the instillation of fluorescein. The shorter the time of rupture, the greater the tear dysfunction

Time frame: 1 week, 1 month, 2 months

Change in Oxford Staining score

The Oxford scale is based on the amount of ocular surface (cornea and conjunctiva) that is stained with lysine or green fluorescein. The severity of the staining points is classified into 6 stages (0-5) from absent to marked epithelial damage.

Time frame: 1 week, 1 month, 2 months

Change in Schirmer I

It is a tear production test. The Schirmer I test is performed without anesthesia. Two thin strips of filter paper (Whatman 5mm x 35mm) are placed on the bottom of the lower conjunctival sac at the junction of the middle third and the outer third to prevent injury to the cornea. It is recommended to ask the subject to keep their eyes closed to limit the effect of blinking. The strips are kept positioned for 5 minutes and then they are removed and the amount that was moistened is read, in mm. The lower the value, the greater the deficit of tear production

Time frame: 1 week, 1 month, 2 months

Change in Ocular Surface Disease Index (OSDI) Score

Data from ClinicalTrials.gov

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