Skip to main content
Erschienen in: International Ophthalmology 1/2024

01.12.2024 | Original Paper

Tear film stability in patients with symptoms of dry eye after instillation of dual polymer hydroxypropyl guar/sodium hyaluronate vs single polymer sodium hyaluronate

verfasst von: Piotr Kanclerz, Natasza Bazylczyk, Szymon Adam Radomski

Erschienen in: International Ophthalmology | Ausgabe 1/2024

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This study evaluated the tear film stability in patients with symptoms of dry eye after installation of dual polymer hydroxypropyl guar/sodium hyaluronate (DPHG/SH) vs single polymer SH.

Methods

Patients with recently diagnosed mild to moderate dry eye disease (OSDI score 23–32 points) were included. For each patient, the right eye was randomized to receive DPHG/SH or 0.15% SH. Just after the administration of the drop to the right eye, the fellow eye received the other eye drop. The first non-invasive Keratograph first break-up time (NIKBUT), average NIKBUT and tear meniscus height (TMH) were measured before administration of the eye drops, at 1-min, 15 min, 30 min, 60 min, 90 min, and 120 min after instillation.

Results

A total of 29 patients aged 22.8 ± 2.2 years participated in the study (21 women). No differences between the eye receiving DPHG/SH and single polymer SH were observed for the first NIKBUT (p = 0.45) and average NIKBUT (p = 0.24) variables at any time point. Both DPHG/SH and single polymer SH increased the TMH (p of time effect < 0.001), but with no difference between groups (p = 0.95).

Conclusion

Both DPHG/SH and single polymer SH solutions provide lubrication of the eye surface, however, with no difference in NIKBUT and TMH evaluations for up to two hours following administration.
Literatur
3.
Zurück zum Zitat Yavuz B, Bozdağ Pehlivan S, Unlü N (2012) An overview on dry eye treatment: approaches for cyclosporin a delivery. Sci World J 2012:194848CrossRef Yavuz B, Bozdağ Pehlivan S, Unlü N (2012) An overview on dry eye treatment: approaches for cyclosporin a delivery. Sci World J 2012:194848CrossRef
5.
Zurück zum Zitat Noor NA, Rahayu T, Gondhowiardjo TD (2020) Prevalence of dry eye and its subtypes in an elderly population with cataracts in Indonesia. Clin Ophthalmol 14:2143–2150PubMedPubMedCentralCrossRef Noor NA, Rahayu T, Gondhowiardjo TD (2020) Prevalence of dry eye and its subtypes in an elderly population with cataracts in Indonesia. Clin Ophthalmol 14:2143–2150PubMedPubMedCentralCrossRef
6.
Zurück zum Zitat Semp DA, Beeson D, Sheppard AL et al (2023) Artificial tears: a systematic review. Clin Optom (Auckl) 15:9–27PubMedCrossRef Semp DA, Beeson D, Sheppard AL et al (2023) Artificial tears: a systematic review. Clin Optom (Auckl) 15:9–27PubMedCrossRef
8.
Zurück zum Zitat Johnson ME, Murphy PJ, Boulton M (2006) Effectiveness of sodium hyaluronate eyedrops in the treatment of dry eye. Graefes Arch Clin Exp Ophthalmol 244:109–112PubMedCrossRef Johnson ME, Murphy PJ, Boulton M (2006) Effectiveness of sodium hyaluronate eyedrops in the treatment of dry eye. Graefes Arch Clin Exp Ophthalmol 244:109–112PubMedCrossRef
9.
Zurück zum Zitat You IC, Li Y, Jin R et al (2018) Comparison of 0.1%, 0.18%, and 0.3% hyaluronic acid eye drops in the treatment of experimental dry eye. J Ocul Pharmacol Ther 34:557–564PubMedPubMedCentralCrossRef You IC, Li Y, Jin R et al (2018) Comparison of 0.1%, 0.18%, and 0.3% hyaluronic acid eye drops in the treatment of experimental dry eye. J Ocul Pharmacol Ther 34:557–564PubMedPubMedCentralCrossRef
10.
Zurück zum Zitat Dick HB, Schwenn O (2012) Viscoelastics in ophthalmic surgery. Springer Science & Business Media, Berlin Dick HB, Schwenn O (2012) Viscoelastics in ophthalmic surgery. Springer Science & Business Media, Berlin
11.
Zurück zum Zitat Balazs EA, Denlinger JL (1989) Clinical uses of hyaluronan. Ciba Found Symp 143:265–75PubMed Balazs EA, Denlinger JL (1989) Clinical uses of hyaluronan. Ciba Found Symp 143:265–75PubMed
12.
Zurück zum Zitat Choy EPY, Cho P, Benzie IFF, Choy CKM (2006) Investigation of corneal effect of different types of artificial tears in a simulated dry eye condition using a novel porcine dry eye model (pDEM). Cornea 25:1200–1204PubMedCrossRef Choy EPY, Cho P, Benzie IFF, Choy CKM (2006) Investigation of corneal effect of different types of artificial tears in a simulated dry eye condition using a novel porcine dry eye model (pDEM). Cornea 25:1200–1204PubMedCrossRef
13.
Zurück zum Zitat Nakamura S, Okada S, Umeda Y, Saito F (2004) Development of a rabbit model of tear film instability and evaluation of viscosity of artificial tear preparations. Cornea 23:390–397PubMedCrossRef Nakamura S, Okada S, Umeda Y, Saito F (2004) Development of a rabbit model of tear film instability and evaluation of viscosity of artificial tear preparations. Cornea 23:390–397PubMedCrossRef
14.
Zurück zum Zitat Oh HJ, Li Z, Park S-H, Yoon KC (2014) Effect of hypotonic 0.18% sodium hyaluronate eyedrops on inflammation of the ocular surface in experimental dry eye. J Ocul Pharmacol Ther 30:533–542PubMedCrossRef Oh HJ, Li Z, Park S-H, Yoon KC (2014) Effect of hypotonic 0.18% sodium hyaluronate eyedrops on inflammation of the ocular surface in experimental dry eye. J Ocul Pharmacol Ther 30:533–542PubMedCrossRef
15.
Zurück zum Zitat Aragona P, Papa V, Micali A et al (2002) Long term treatment with sodium hyaluronate-containing artificial tears reduces ocular surface damage in patients with dry eye. Br J Ophthalmol 86:181–184PubMedPubMedCentralCrossRef Aragona P, Papa V, Micali A et al (2002) Long term treatment with sodium hyaluronate-containing artificial tears reduces ocular surface damage in patients with dry eye. Br J Ophthalmol 86:181–184PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Lee HS, Ji YS, Yoon KC (2014) Efficacy of hypotonic 0.18% sodium hyaluronate eye drops in patients with dry eye disease. Cornea 33:946–951PubMedCrossRef Lee HS, Ji YS, Yoon KC (2014) Efficacy of hypotonic 0.18% sodium hyaluronate eye drops in patients with dry eye disease. Cornea 33:946–951PubMedCrossRef
17.
Zurück zum Zitat Labetoulle M, Schmickler S, Galarreta D et al (2018) Efficacy and safety of dual-polymer hydroxypropyl guar- and hyaluronic acid-containing lubricant eyedrops for the management of dry-eye disease: a randomized double-masked clinical study. Clin Ophthalmol 12:2499–2508PubMedPubMedCentralCrossRef Labetoulle M, Schmickler S, Galarreta D et al (2018) Efficacy and safety of dual-polymer hydroxypropyl guar- and hyaluronic acid-containing lubricant eyedrops for the management of dry-eye disease: a randomized double-masked clinical study. Clin Ophthalmol 12:2499–2508PubMedPubMedCentralCrossRef
18.
Zurück zum Zitat Wolffsohn JS, Arita R, Chalmers R et al (2017) TFOS DEWS II diagnostic methodology report. Ocul Surf 15:539–574PubMedCrossRef Wolffsohn JS, Arita R, Chalmers R et al (2017) TFOS DEWS II diagnostic methodology report. Ocul Surf 15:539–574PubMedCrossRef
19.
Zurück zum Zitat Mooi JK, Wang MTM, Lim J et al (2017) Minimising instilled volume reduces the impact of fluorescein on clinical measurements of tear film stability. Cont Lens Anterior Eye 40:170–174PubMedCrossRef Mooi JK, Wang MTM, Lim J et al (2017) Minimising instilled volume reduces the impact of fluorescein on clinical measurements of tear film stability. Cont Lens Anterior Eye 40:170–174PubMedCrossRef
20.
Zurück zum Zitat Best N, Drury L, Wolffsohn JS (2012) Clinical evaluation of the oculus keratograph. Cont Lens Anterior Eye 35:171–174PubMedCrossRef Best N, Drury L, Wolffsohn JS (2012) Clinical evaluation of the oculus keratograph. Cont Lens Anterior Eye 35:171–174PubMedCrossRef
21.
22.
Zurück zum Zitat Wang MTM, Craig JP (2018) Comparative evaluation of clinical methods of tear film stability assessment: a randomized crossover trial. JAMA Ophthalmol 136:291–294PubMedPubMedCentralCrossRef Wang MTM, Craig JP (2018) Comparative evaluation of clinical methods of tear film stability assessment: a randomized crossover trial. JAMA Ophthalmol 136:291–294PubMedPubMedCentralCrossRef
23.
Zurück zum Zitat Abdelfattah NS, Dastiridou A, Sadda SR, Lee OL (2015) Noninvasive imaging of tear film dynamics in eyes with ocular surface disease. Cornea 34(Suppl 10):S48-52PubMedCrossRef Abdelfattah NS, Dastiridou A, Sadda SR, Lee OL (2015) Noninvasive imaging of tear film dynamics in eyes with ocular surface disease. Cornea 34(Suppl 10):S48-52PubMedCrossRef
24.
Zurück zum Zitat Fuller DG, Potts K, Kim J (2013) Noninvasive tear breakup times and ocular surface disease. Optom Vis Sci 90:1086–1091PubMedCrossRef Fuller DG, Potts K, Kim J (2013) Noninvasive tear breakup times and ocular surface disease. Optom Vis Sci 90:1086–1091PubMedCrossRef
25.
Zurück zum Zitat Doronin O, Maiboroda R (2015) GEE estimators in mixture model with varying concentrations. Acta Universitatis Lodziensis, Folia Oeconomica, p 3 Doronin O, Maiboroda R (2015) GEE estimators in mixture model with varying concentrations. Acta Universitatis Lodziensis, Folia Oeconomica, p 3
27.
Zurück zum Zitat Wilkinson L (2011) ggplot2: elegant graphics for data analysis by WICKHAM, H. Biometrics 67:678–679CrossRef Wilkinson L (2011) ggplot2: elegant graphics for data analysis by WICKHAM, H. Biometrics 67:678–679CrossRef
28.
Zurück zum Zitat Mohamed HB, Abd El-Hamid BN, Fathalla D, Fouad EA (2022) Current trends in pharmaceutical treatment of dry eye disease: a review. Eur J Pharm Sci 175:106206PubMedCrossRef Mohamed HB, Abd El-Hamid BN, Fathalla D, Fouad EA (2022) Current trends in pharmaceutical treatment of dry eye disease: a review. Eur J Pharm Sci 175:106206PubMedCrossRef
29.
Zurück zum Zitat Pucker AD, Ng SM, Nichols JJ (2016) Over the counter (OTC) artificial tear drops for dry eye syndrome. Cochrane Database Syst Rev 2:CD009729PubMed Pucker AD, Ng SM, Nichols JJ (2016) Over the counter (OTC) artificial tear drops for dry eye syndrome. Cochrane Database Syst Rev 2:CD009729PubMed
30.
Zurück zum Zitat Aragona P, Giannaccare G, Mencucci R et al (2021) Modern approach to the treatment of dry eye, a complex multifactorial disease: a P.I.C.A.S.S.O. board review. Br J Ophthalmol 105:446–453PubMedCrossRef Aragona P, Giannaccare G, Mencucci R et al (2021) Modern approach to the treatment of dry eye, a complex multifactorial disease: a P.I.C.A.S.S.O. board review. Br J Ophthalmol 105:446–453PubMedCrossRef
31.
Zurück zum Zitat Che Arif FA, Hilmi MR, Mohd Kamal K, Ithnin MH (2020) Evaluation of 18 artificial tears based on viscosity and pH. MyJO 2:96–111CrossRef Che Arif FA, Hilmi MR, Mohd Kamal K, Ithnin MH (2020) Evaluation of 18 artificial tears based on viscosity and pH. MyJO 2:96–111CrossRef
32.
Zurück zum Zitat Gagliano C, Papa V, Amato R et al (2018) Measurement of the retention time of different ophthalmic formulations with ultrahigh-resolution optical coherence tomography. Curr Eye Res 43:499–502PubMedCrossRef Gagliano C, Papa V, Amato R et al (2018) Measurement of the retention time of different ophthalmic formulations with ultrahigh-resolution optical coherence tomography. Curr Eye Res 43:499–502PubMedCrossRef
33.
Zurück zum Zitat Paugh JR, Nguyen AL, Ketelson HA et al (2008) Precorneal residence time of artificial tears measured in dry eye subjects. Optom Vis Sci 85:725–731PubMedCrossRef Paugh JR, Nguyen AL, Ketelson HA et al (2008) Precorneal residence time of artificial tears measured in dry eye subjects. Optom Vis Sci 85:725–731PubMedCrossRef
34.
Zurück zum Zitat Park Y, Song JS, Choi CY et al (2017) A randomized multicenter study comparing 0.1%, 0.15%, and 0.3% sodium hyaluronate with 0.05% cyclosporine in the treatment of dry eye. J Ocul Pharmacol Ther 33:66–72PubMedPubMedCentralCrossRef Park Y, Song JS, Choi CY et al (2017) A randomized multicenter study comparing 0.1%, 0.15%, and 0.3% sodium hyaluronate with 0.05% cyclosporine in the treatment of dry eye. J Ocul Pharmacol Ther 33:66–72PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat Troiano P, Monaco G (2008) Effect of hypotonic 0.4% hyaluronic acid drops in dry eye patients: a cross-over study. Cornea 27:1126–1130PubMedCrossRef Troiano P, Monaco G (2008) Effect of hypotonic 0.4% hyaluronic acid drops in dry eye patients: a cross-over study. Cornea 27:1126–1130PubMedCrossRef
36.
Zurück zum Zitat Ishioka M, Kato N, Takano Y et al (2009) The quantitative detection of blurring of vision after eyedrop instillation using a functional visual acuity system. Acta Ophthalmol 87:574–575PubMedCrossRef Ishioka M, Kato N, Takano Y et al (2009) The quantitative detection of blurring of vision after eyedrop instillation using a functional visual acuity system. Acta Ophthalmol 87:574–575PubMedCrossRef
37.
Zurück zum Zitat Koh S, Maeda N, Ikeda C et al (2013) Effect of instillation of eyedrops for dry eye on optical quality. Invest Ophthalmol Vis Sci 54:4927–4933PubMedCrossRef Koh S, Maeda N, Ikeda C et al (2013) Effect of instillation of eyedrops for dry eye on optical quality. Invest Ophthalmol Vis Sci 54:4927–4933PubMedCrossRef
38.
Zurück zum Zitat Berger JS, Head KR, Salmon TO (2009) Comparison of two artificial tear formulations using aberrometry. Clin Exp Optom 92:206–211PubMedCrossRef Berger JS, Head KR, Salmon TO (2009) Comparison of two artificial tear formulations using aberrometry. Clin Exp Optom 92:206–211PubMedCrossRef
39.
Zurück zum Zitat Markoulli M, Sobbizadeh A, Tan J et al (2018) The effect of optive and optive advanced artificial tears on the healthy tear film. Curr Eye Res 43:588–594PubMedCrossRef Markoulli M, Sobbizadeh A, Tan J et al (2018) The effect of optive and optive advanced artificial tears on the healthy tear film. Curr Eye Res 43:588–594PubMedCrossRef
40.
Zurück zum Zitat Evangelista M, Koverech A, Messano M, Pescosolido N (2011) Comparison of three lubricant eye drop solutions in dry eye patients. Optom Vis Sci 88:1439–1444PubMedCrossRef Evangelista M, Koverech A, Messano M, Pescosolido N (2011) Comparison of three lubricant eye drop solutions in dry eye patients. Optom Vis Sci 88:1439–1444PubMedCrossRef
41.
Zurück zum Zitat Uchiyama E, Aronowicz JD, Butovich IA, McCulley JP (2007) Increased evaporative rates in laboratory testing conditions simulating airplane cabin relative humidity: an important factor for dry eye syndrome. Eye Contact Lens 33:174–176PubMedCrossRef Uchiyama E, Aronowicz JD, Butovich IA, McCulley JP (2007) Increased evaporative rates in laboratory testing conditions simulating airplane cabin relative humidity: an important factor for dry eye syndrome. Eye Contact Lens 33:174–176PubMedCrossRef
42.
Zurück zum Zitat Wojtowicz JC, Arciniega JC, McCulley JP, Mootha VV (2010) Effect of systane and optive on aqueous tear evaporation in patients with dry eye disease. Eye Contact Lens 36:358–360PubMedCrossRef Wojtowicz JC, Arciniega JC, McCulley JP, Mootha VV (2010) Effect of systane and optive on aqueous tear evaporation in patients with dry eye disease. Eye Contact Lens 36:358–360PubMedCrossRef
43.
Zurück zum Zitat Koh S, Ikeda C, Watanabe S et al (2015) Effect of non-invasive tear stability assessment on tear meniscus height. Acta Ophthalmol 93:e135–e139PubMedCrossRef Koh S, Ikeda C, Watanabe S et al (2015) Effect of non-invasive tear stability assessment on tear meniscus height. Acta Ophthalmol 93:e135–e139PubMedCrossRef
44.
Zurück zum Zitat Molina-Solana P, Domínguez-Serrano FD, Garrido-Hermosilla AM, Montero-Iruzubieta J, Fernández-Palacín A, Rodríguez-de-la-Rúa-Franch E, Caro-Magdaleno M (2020) Improved tear film stability in patients with dry eye after hyaluronic acid and galactoxyloglucan use. Clin Ophthalmol. 14:1153–1159PubMedPubMedCentralCrossRef Molina-Solana P, Domínguez-Serrano FD, Garrido-Hermosilla AM, Montero-Iruzubieta J, Fernández-Palacín A, Rodríguez-de-la-Rúa-Franch E, Caro-Magdaleno M (2020) Improved tear film stability in patients with dry eye after hyaluronic acid and galactoxyloglucan use. Clin Ophthalmol. 14:1153–1159PubMedPubMedCentralCrossRef
45.
Zurück zum Zitat Calvão-Santos G, Borges C, Nunes S et al (2011) Efficacy of 3 different artificial tears for the treatment of dry eye in frequent computer users and/or contact lens users. Eur J Ophthalmol 21:538–544PubMedCrossRef Calvão-Santos G, Borges C, Nunes S et al (2011) Efficacy of 3 different artificial tears for the treatment of dry eye in frequent computer users and/or contact lens users. Eur J Ophthalmol 21:538–544PubMedCrossRef
46.
Zurück zum Zitat Guillon M, Maissa C, Ho S (2010) Evaluation of the effects on conjunctival tissues of optive eyedrops over one month usage. Cont Lens Anterior Eye 33:93–99PubMedCrossRef Guillon M, Maissa C, Ho S (2010) Evaluation of the effects on conjunctival tissues of optive eyedrops over one month usage. Cont Lens Anterior Eye 33:93–99PubMedCrossRef
47.
Zurück zum Zitat Wang MTM, Xue AL, Craig JP (2019) Screening utility of a rapid non-invasive dry eye assessment algorithm. Cont Lens Anterior Eye 42:497–501PubMedCrossRef Wang MTM, Xue AL, Craig JP (2019) Screening utility of a rapid non-invasive dry eye assessment algorithm. Cont Lens Anterior Eye 42:497–501PubMedCrossRef
Metadaten
Titel
Tear film stability in patients with symptoms of dry eye after instillation of dual polymer hydroxypropyl guar/sodium hyaluronate vs single polymer sodium hyaluronate
verfasst von
Piotr Kanclerz
Natasza Bazylczyk
Szymon Adam Radomski
Publikationsdatum
01.12.2024
Verlag
Springer Netherlands
Erschienen in
International Ophthalmology / Ausgabe 1/2024
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-024-03061-5

Weitere Artikel der Ausgabe 1/2024

International Ophthalmology 1/2024 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Metastase in der periokulären Region

Metastasen Leitthema

Orbitale und periokuläre metastatische Tumoren galten früher als sehr selten. Aber mit der ständigen Aktualisierung von Medikamenten und Nachweismethoden für die Krebsbehandlung werden neue Chemotherapien und Strahlenbehandlungen eingesetzt. Die …

Staging und Systemtherapie bei okulären und periokulären Metastasen

Metastasen Leitthema

Metastasen bösartiger Erkrankungen sind die häufigsten Tumoren, die im Auge diagnostiziert werden. Sie treten bei ungefähr 5–10 % der Patienten mit soliden Tumoren im Verlauf der Erkrankung auf. Besonders häufig sind diese beim Mammakarzinom und …

Wundheilung nach Trabekulektomie

Trabekulektomie CME-Artikel

Die überschießende Wundheilung in der filtrierenden Glaukomchirurgie ist ein zentraler Faktor für ein operatives Versagen. Nach der Einführung der Trabekulektomie in den 1960er-Jahren wurden viele Faktoren erkannt, die mit einer vermehrten …

„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Metastasen Leitthema

Peri- sowie intraokuläre Metastasen sind insgesamt gesehen selten und meist Zeichen einer fortgeschrittenen primären Tumorerkrankung. Die Therapie ist daher zumeist palliativ und selten kurativ. Zudem ist die Therapiefindung sehr individuell. Die …

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.