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Tear Film Thickness Measured Using a Novel Technique

This study has been completed.
Information provided by:
Southern California College of Optometry Identifier:
First received: November 16, 2009
Last updated: October 8, 2010
Last verified: September 2010

The aim of this investigation is to determine the thickness of the human preocular tear film using a new method based on laser speckle. This will be a preliminary study to generate "normative" tear film thickness data in normal (i.e., non dry eye) and dry eye subjects in a clinic-based population. In addition, we will examine the short term (i.e., one week) repeatability of the method in a single setting.

The patients classified as having dry eye will also have their tear film thickness measured after instillation of an artificial tear. This will potentially reveal valuable data in retention of effect measured non-invasively as in prior studies that employed a fluorescein tracer.

Dry Eye

Study Type: Observational
Study Design: Time Perspective: Cross-Sectional
Official Title: Tear Film Thickness Measured Using a Novel Technique

Resource links provided by NLM:

Further study details as provided by Southern California College of Optometry:

Primary Outcome Measures:
  • Tear film thickness in normal eyes [ Time Frame: 1-3 months ]

Secondary Outcome Measures:
  • Tear thickness change following viscous drop instillation [ Time Frame: 1-3 months ]

Estimated Enrollment: 40
Study Start Date: November 2009
Study Completion Date: October 2010
Primary Completion Date: April 2010 (Final data collection date for primary outcome measure)
Normal (non-dry) dry eye subjects
These are healthy individuals, age 18 and above, who do not exhibit dry eyes by signs and symptoms
Dry eye subjects
These are subjects, age 18 years and above, who do exhibit signs and symptoms of dry eye.

Detailed Description:
We will generate "normative" tear thickness data in normal (i.e., not dry) and dry eyes in human subjects. We will examine short-term repeatability of the method, and we will examine the influence on tear thickness of a viscous eyedrop instilled into the eye.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
The study will inculde up to 20 normals (i.e., non-dry eye) individuals, over the age of 18 years, adn 20 dry eye individuals.

Inclusion Criteria:

There are no requirements as to subject race, gender or occupation. If the subjects have any questions or concerns regarding any of the inclusion or exclusion criteria, they will be encouraged to ask either investigator (Dr. Paugh or Dr. Kwan) for clarification. All subjects must meet the following criteria:

  1. The informed consent document must be read, signed and dated by the subject before conducting any procedures. Additionally, the informed consent document must be signed and dated by the individual obtaining consent of the subject. HIPAA authorization must also be signed and dated by the subject.
  2. Adult subjects, 18 years of age and older. Criteria for the mild to severe dry eye group must include two of the three following characteristics as demonstrated at the Eligibility visit:

    1. Composite symptom score of ≥ 7 on the Schein questionnaire:
    2. Sodium fluorescein (NaFl) tear break-up time ≤ 7 seconds in either (worse) eye
    3. Cumulative sodium fluorescein (NaFl) corneal staining ≥ 4 in either (worse) eye on a 0-20 point scale (corresponds to ≥ 3.0 on a 0-15 scale).
  3. Able and willing to follow study instructions.
  4. Willing to return for the repeatability visit within 7 plus or minus 2 days of the initial visit, and within the same one-half day (i.e., either in the morning or afternoon, similar to the first tear thickness visit).
  5. Subjects must have best corrected visual acuity of 20/25 or better in each eye as assessed using a standard Snellen acuity chart.
  6. Subjects wearing soft contacts lenses must be willing to discontinue wear for two days before each study visit.
  7. Subjects using any topical drops such as artificial tears must be willing to discontinue use of such drops for two days prior to all visits, including the baseline visit.

Exclusion Criteria:

Subjects demonstrating any medical condition that may affect the results of this study SHOULD NOT be enrolled. The following are specific conditions that exclude subjects from enrollment in this study:

  1. History or evidence of ocular or intraocular surgery in either eye within the past six months. LASIK and other kerato-refractive procedure patients can qualify if the most recent surgery or enhancement was 12 or more months prior.
  2. History or evidence of serious ocular trauma in either eye within the past six months.
  3. History of hypersensitivity to sodium fluorescein.
  4. History or evidence of epithelial herpes simplex keratitis (dendritic keratitis); vaccinia, active or recent varicella, viral disease of the cornea and/or conjunctiva; chronic bacterial disease of the cornea and/or conjunctiva; mycobacterial infection of the eye; and/or fungal disease of the eye.
  5. Patients requiring use of topical ocular medications such as glaucoma or allergy medications during the study period.
  6. Individuals using systemic steroids, immunosuppressive agents and/or anti-cholinergics (e.g. cold and allergy medications, tricyclic antidepressants) for treatment of autoimmune connective tissue disease may not be enrolled in the study if they have not been on a stable dosing regimen for a minimum of 30 days prior to the first visit. In addition, the dosing regimen must remain stable throughout the study period, expected to be approximately one week.
  7. Individuals with diabetes.
  8. Ocular conditions such as conjunctival infections, or iritis.
  9. Individuals wearing rigid gas permeable contact lenses or using punctal plugs.
  10. Participation in an investigational drug or device study within 30 days of entering this study.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01014780

United States, California
Southern California College of Optometry
Fullerton, California, United States, 92831`
Sponsors and Collaborators
Southern California College of Optometry
Study Director: Jerry Paugh, OD. PhD Southern California College of Optometry
  More Information

Responsible Party: Jerry R. Paugh, Southern California College of Optometry Identifier: NCT01014780     History of Changes
Other Study ID Numbers: 09-10
Study First Received: November 16, 2009
Last Updated: October 8, 2010

Keywords provided by Southern California College of Optometry:
dry eye
tear film
artificial tears processed this record on August 18, 2017