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Dry eye syndrome (DES) is a highly prevalent ocular condition inducing an inflammatory response of the ocular surface. Common symptoms include ocular discomfort, visual impairment and instability of the tear film with potential damage to the ocular surface.
The rationale of the present study is to compare signs as assessed with new methods such as measurement of tear film thickness, tear film osmolarity and scattering of the tear film with well established methods for assessment of the severity of DES (Break up time, staining of the cornea with fluorescein). Additionally, impression cytology and determination of tear cytokines/chemokines will be performed to obtain information about inflammatory processes on the ocular surface.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 50 patients with dry eye syndrome | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ocular scattering of the tear film | Other |
|
| |
| Measure | Description | Time Frame |
|---|---|---|
| Break up time | break up time of the tear film measured in seconds | once on the study day |
| Tear film thickness as measured with optical coherence tomography (OCT) | tear film thickness measured in micrometers | once on the study day |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Acuity | Total number of letters read using ETDRS Charts | once on the study day |
| Tear film osmolarity | Tear film osmolarity measured in mosmol/l |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Clinical Pharmacology, Medical University of Vienna | Vienna | State of Vienna | 1090 | Austria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25650419 | Derived | Schmidl D, Witkowska KJ, Kaya S, Baar C, Faatz H, Nepp J, Unterhuber A, Werkmeister RM, Garhofer G, Schmetterer L. The association between subjective and objective parameters for the assessment of dry-eye syndrome. Invest Ophthalmol Vis Sci. 2015 Feb 3;56(3):1467-72. doi: 10.1167/iovs.14-15814. |
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| ID | Term |
|---|---|
| D015352 | Dry Eye Syndromes |
| ID | Term |
|---|---|
| D007766 | Lacrimal Apparatus Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D041623 | Tomography, Optical Coherence |
| ID | Term |
|---|---|
| D041622 | Tomography, Optical |
| D061848 | Optical Imaging |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
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| Optical Coherence Tomography (OCT) |
| Other |
Tear film thickness as measured with OCT |
|
| Measurement of tear film osmolarity | Other |
|
|
| once on the study day |
| OSI (Objective Scattering Index) | The objective scattering index will be measured using the OQAS system (Visiometrics, Spain) | once on the study day |
| Staining of the cornea with fluorescein | The cornea will be divided into 5 regions (central, inferior, nasal, temporal, inferior) and each region will be graded from 0-4 in 0.5 steps as described in the Collaborative Longitudinal Evaluation of Keratoconus (CLEK) study. | once on the study day |
| Impression cytology | After topical anesthesia of the eye, filter material is placed on the conjunctiva to obtain cytological samples, which will be prepared and evaluated. | once on the study day |
| Tear cytokines/chemokines | Samples of 40 µl tears will be taken with a glass capillary and stored in vials. The concentrations of several cytokines and chemokines will be evaluated. | once on the study day |
| Subjective symptoms of dry eye syndrome | a questionaire will be used | once on the study day |
| D003933 | Diagnosis |
| D014054 | Tomography |
| D008919 | Investigative Techniques |