Tear lipid layer thickness with eye drops in meibomian gland dysfunction

Jennifer S Fogt,1 Matthew J Kowalski,1 P Ewen King-Smith,1 Alice T Epitropolous,2 Andrew J Hendershot,2 Carrie Lembach,2 John Paul Maszczak,1 Lisa A Jones-Jordan,1 Joseph T Barr1 1The Ohio State University College of Optometry, 2The Ohio State University Department of Ophthalmology, Columbus, OH, U...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Fogt JS, Kowalski MJ, King-Smith PE, Epitropoulos AT, Hendershot AJ, Lembach C, Maszczak JP, Jones-Jordan LA, Barr JT
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://doaj.org/article/9acd3b1564a742a8a3a73002c2cf2cbf
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:9acd3b1564a742a8a3a73002c2cf2cbf
record_format dspace
spelling oai:doaj.org-article:9acd3b1564a742a8a3a73002c2cf2cbf2021-12-02T00:08:01ZTear lipid layer thickness with eye drops in meibomian gland dysfunction1177-5483https://doaj.org/article/9acd3b1564a742a8a3a73002c2cf2cbf2016-11-01T00:00:00Zhttps://www.dovepress.com/tear-lipid-layer-thickness-with-eye-drops-in-meibomian-gland-dysfuncti-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jennifer S Fogt,1 Matthew J Kowalski,1 P Ewen King-Smith,1 Alice T Epitropolous,2 Andrew J Hendershot,2 Carrie Lembach,2 John Paul Maszczak,1 Lisa A Jones-Jordan,1 Joseph T Barr1 1The Ohio State University College of Optometry, 2The Ohio State University Department of Ophthalmology, Columbus, OH, USA Purpose: The aim of this study was to evaluate the efficacy of a lipid containing emollient eye drop, Soothe XP, which was reformulated in 2014 with a more stable preservative and buffer system, compared to a control, non-emollient, eye drop (Systane Ultra) in improving lipid layer thickness (LLT) in subjects with dry eye due to meibomian gland dysfunction (MGD).Patients and methods: This prospective single-center, open-label, cross-over, examiner masked-study enrolled subjects aged 30–75 years with lipid-deficient dry eye and a clinical diagnosis of MGD as determined by a slit lamp examination, an evaluation of meibomian gland drop out with meibography, and a standard patient evaluation of eye dryness questionnaire of >5. Eligibility was then determined by a LLT of <75 nm at baseline and the inability to increase LLT ≥15 nm with three blinks, as determined by interferometric methods. Subjects were randomized to receive a single emollient or non-emollient eye drop at Visit 1 and were crossed over for the alternate treatment at Visit 2. At each visit, LLT was measured prior to and 15 minutes following the instillation of the assigned eye drop. The primary endpoint was the change in LLT from baseline.Results: Subjects (n=40) were enrolled and 35 completed the two study arms. Mean (±SD) patient age was 55.7 years (10.9) and 69% were female. Mean (±SD) LLT at baseline was 49.5 nm (9.2). Instillation of Soothe XP resulted in an increase in LLT to 77.5 nm (29.3) 15 minutes following drop instillation, which is an increase of 28.0 nm (27.4) (P<0.001). In contrast, LLT 15 minutes after the instillation of Systane Ultra was 50.8 nm (14.1), which was not statistically significant when compared to the baseline LLT.Conclusion: In this study of subjects with MGD, the emollient, or lipid containing eye drop, increased the LLT of tears when measured 15 minutes after instilling a single eye drop. Keywords: dry eye, lipid, emollient, thickness, meibomian, interferometry Fogt JSKowalski MJKing-Smith PEEpitropoulos ATHendershot AJLembach CMaszczak JPJones-Jordan LABarr JTDove Medical Pressarticledry eyelipidemollientthicknessmeibomianinterferometryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2237-2243 (2016)
institution DOAJ
collection DOAJ
language EN
topic dry eye
lipid
emollient
thickness
meibomian
interferometry
Ophthalmology
RE1-994
spellingShingle dry eye
lipid
emollient
thickness
meibomian
interferometry
Ophthalmology
RE1-994
Fogt JS
Kowalski MJ
King-Smith PE
Epitropoulos AT
Hendershot AJ
Lembach C
Maszczak JP
Jones-Jordan LA
Barr JT
Tear lipid layer thickness with eye drops in meibomian gland dysfunction
description Jennifer S Fogt,1 Matthew J Kowalski,1 P Ewen King-Smith,1 Alice T Epitropolous,2 Andrew J Hendershot,2 Carrie Lembach,2 John Paul Maszczak,1 Lisa A Jones-Jordan,1 Joseph T Barr1 1The Ohio State University College of Optometry, 2The Ohio State University Department of Ophthalmology, Columbus, OH, USA Purpose: The aim of this study was to evaluate the efficacy of a lipid containing emollient eye drop, Soothe XP, which was reformulated in 2014 with a more stable preservative and buffer system, compared to a control, non-emollient, eye drop (Systane Ultra) in improving lipid layer thickness (LLT) in subjects with dry eye due to meibomian gland dysfunction (MGD).Patients and methods: This prospective single-center, open-label, cross-over, examiner masked-study enrolled subjects aged 30–75 years with lipid-deficient dry eye and a clinical diagnosis of MGD as determined by a slit lamp examination, an evaluation of meibomian gland drop out with meibography, and a standard patient evaluation of eye dryness questionnaire of >5. Eligibility was then determined by a LLT of <75 nm at baseline and the inability to increase LLT ≥15 nm with three blinks, as determined by interferometric methods. Subjects were randomized to receive a single emollient or non-emollient eye drop at Visit 1 and were crossed over for the alternate treatment at Visit 2. At each visit, LLT was measured prior to and 15 minutes following the instillation of the assigned eye drop. The primary endpoint was the change in LLT from baseline.Results: Subjects (n=40) were enrolled and 35 completed the two study arms. Mean (±SD) patient age was 55.7 years (10.9) and 69% were female. Mean (±SD) LLT at baseline was 49.5 nm (9.2). Instillation of Soothe XP resulted in an increase in LLT to 77.5 nm (29.3) 15 minutes following drop instillation, which is an increase of 28.0 nm (27.4) (P<0.001). In contrast, LLT 15 minutes after the instillation of Systane Ultra was 50.8 nm (14.1), which was not statistically significant when compared to the baseline LLT.Conclusion: In this study of subjects with MGD, the emollient, or lipid containing eye drop, increased the LLT of tears when measured 15 minutes after instilling a single eye drop. Keywords: dry eye, lipid, emollient, thickness, meibomian, interferometry 
format article
author Fogt JS
Kowalski MJ
King-Smith PE
Epitropoulos AT
Hendershot AJ
Lembach C
Maszczak JP
Jones-Jordan LA
Barr JT
author_facet Fogt JS
Kowalski MJ
King-Smith PE
Epitropoulos AT
Hendershot AJ
Lembach C
Maszczak JP
Jones-Jordan LA
Barr JT
author_sort Fogt JS
title Tear lipid layer thickness with eye drops in meibomian gland dysfunction
title_short Tear lipid layer thickness with eye drops in meibomian gland dysfunction
title_full Tear lipid layer thickness with eye drops in meibomian gland dysfunction
title_fullStr Tear lipid layer thickness with eye drops in meibomian gland dysfunction
title_full_unstemmed Tear lipid layer thickness with eye drops in meibomian gland dysfunction
title_sort tear lipid layer thickness with eye drops in meibomian gland dysfunction
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/9acd3b1564a742a8a3a73002c2cf2cbf
work_keys_str_mv AT fogtjs tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
AT kowalskimj tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
AT kingsmithpe tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
AT epitropoulosat tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
AT hendershotaj tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
AT lembachc tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
AT maszczakjp tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
AT jonesjordanla tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
AT barrjt tearlipidlayerthicknesswitheyedropsinmeibomianglanddysfunction
_version_ 1718403944632287232