Treatment of Dry Eye With Supplements
Dry eye syndrome (DES) is a highly prevalent ocular condition inducing an inflammatory response on the ocular surface. Common symptoms include ocular discomfort, visual impairment and instability of the tear film with potential damage to the ocular surface.
In addition, an intact tear film is important to provide a smooth optical surface, to act as a barrier to pathogens, to nourish the epithelial cells of the ocular surface and to prevent exsiccation. Alterations in the tear film composition, which can have their origin in several conditions, lead to tear film hyperosmolarity or instability resulting in DES.
Regardless of the cause of DES, chronic dryness of the ocular surface leads to an increased susceptibility to oxidative stress, which is triggered by reactive oxygen species (ROS). This results in cell damage and activation of the immune system, keeping up inflammatory processes . In order to prevent ROS damage, several micronutrients such as vitamin C, E, and certain carotenoids, omega-3 free fatty acids, flavonoids and minerals have been used because of their antioxidant capacities.
Based on this knowledge the potential of these antioxidant dietary supplements has been discussed as a treatment option for DES. Preliminary data support the hypothesis that antioxidant supplementations, in particular, supplementation with omega 3 fatty acids may be beneficial for patients with DES.
The purpose of the present study is to test the hypothesis that treatment with dietary supplements improves subjective and objective symptoms of DES.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Vienna, Austria, 1090
- Department of Clinical Pharmacology, Medical University Vienna
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Men and women aged over 18 years
- History of dry eye syndrome for at least 3 months
- Tear Break Up Time (BUT) < 10 seconds or Schirmer I test < 7 mm
- At least 2 symptoms of dry eye syndrome (foreign body sensation, burning, photophobia, blurred vision, pain, itching)
- -Normal ophthalmic findings except dry eye syndrome
Exclusion Criteria:
- Participation in a clinical trial in the 3 weeks preceding the study
- Symptoms of a clinically relevant illness in the 3 weeks before the first study day
- Presence or history of a severe medical condition that will interfere with the study aim as judged by the clinical investigator
- Wearing of contact lenses
- Intake of dietary supplements in the 3 months preceding the study
- Glaucoma
- Treatment with corticosteroids in the 4 weeks preceding the study
- Topical treatment with any ophthalmic drug except topical lubricants in the 4 weeks preceding the study
- Ocular infection or inflammation
- Ocular surgery in the 3 months preceding the study
- Sjögren's syndrome
- Stevens-Johnson syndrome
- Pregnancy, planned pregnancy or lactating
Study Plan
How is the study designed?
Design Details
- Primary Purpose: BASIC_SCIENCE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Improvement of subjective symptoms of dry eye syndrome
Time Frame: 12 weeks
|
12 weeks
|
|
Break up time (BUT)
Time Frame: 12 weeks
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Visual Acuity
Time Frame: 12 weeks
|
12 weeks
|
|
Tear film osmolarity
Time Frame: 12 weeks
|
12 weeks
|
|
OSI (Objective Scattering Index)
Time Frame: 12 weeks
|
12 weeks
|
|
Schirmer I test
Time Frame: 12 weeks
|
12 weeks
|
|
Staining of the cornea with fluorescein
Time Frame: 12 weeks
|
12 weeks
|
|
Impression cytology
Time Frame: 12 weeks
|
12 weeks
|
|
Tear cytokines/chemokines
Time Frame: 12 weeks
|
12 weeks
|
|
Data from patient diary how often Hylo-Comod® eye drops were used
Time Frame: 12 weeks
|
12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Doreen Schmidl, MD, Department of Clinical Pharmacology,Medical University of Vienna
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- Vitamin E
- Vitamin C
- Zinc
- Dietary Supplements
- ginkgo biloba
- Dry Eye Syndromes
- Lutein
- Zeaxanthin
- Flavinoids
- Visual Acuity
- Copper
- Impression cytology
- Schirmer I test
- Vitamac® Tag and Nacht capsules
- Fishoil
- Selen
- Alpha Lipon acid
- Break up time (BUT)
- Improvement of subjective symptoms of dry eye syndrome
- Tear film osmolarity
- OSI (Objective Scattering Index)
- Staining of the cornea with fluorescein
- Tear cytokines/chemokines
- Data from patient diary how often Hylo-Comod® eye drops were used
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- OPHT-120111
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