The use of non-invasive and invasive diagnostic methods to evaluate the effectiveness of three artificial tear preparations in the treatment of dry eye syndrome
Year: 2019
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Objectives: The assessment of three commercially available artificial tear formulations for dry eye disease (DED) treatment. Material and methods: This 4-week, randomised prospective study enrolled 30 patients with DED symptoms. Patients received (in scheme 1 : 1 : 1): group 1 – dexpanthenol 2% and hydroxypropylcelulose 0.5%; group 2 – trehalose 3% and sodium hyaluronate 0.15%; group 3 – sodium hyaluronate 0.24%. All assessments were performed before and 28 days after treatment and included Ocular Surface Disease Index (OSDI), subjective symptoms, non-invasive imaging using a cone- and a bowl-type videokeratoscope, Schirmer test and slit lamp exam including fluorescein and lissamine green ocular surface staining. T-test was used for statistical analysis of the results. Results: All groups had significantly lower OSDI. Four subjective symptoms improved in group 1 and only two subjective symptoms improved in groups 2 and 3. Non-invasive break-up time (NIBUT) was significantly longer after treatment in groups 1 and 3 (p < 0.05). The ratio of tear film surface quality distortion was lower only in group 1 (p < 0.05). Corneal fluorescein staining was reduced in all groups after treatment (p < 0.05). There were no statistically significant changes in Schirmer test, tear meniscus height and NIBUT measured with a bowl-type videokeratoscope after treatment. Conclusions: All preparations reduced the subjective and objective symptoms of DED. The corneal epithelium and general subjective comfort improved regardless of used artificial tear formulation. Nonetheless, the tear film break-up time change depended on the diagnostic method and treatment type.
Institution: Wrocław University of Science and Technology
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W2965978486