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Evaluation of tear fluid production using Schirmers' tests is a well-known and frequently used examination method in ophthalmology. Schirmers' test objectively indicates the tear fluid production over five minutes by insertion of a filter paper strip in the lower conjunctival fornix. Commonly, this method is used to quantify tear fluid production, but not tear fluid composition. The development of novel, very precise analytical methods opens up new possibilities in the use and application of Schirmers' test strips. A recently introduced analytical method is mass spectrometry. This method allows the detection and quantification of proteins, lipids, and metabolites in very low amounts of samples. Whether systemically ingested agents such as omega-3 fatty acids or acetylsalicylic acid can be detected in tear fluid using this method remains unclear. The aim of this study is to investigate the detectability of 2 different agents (acetylsalicylic acid and omega-3 fatty acids) in Schirmers' test strips from healthy subjects after intake for 1 week by use of untargeted mass spectrometry. Participating healthy subjects will receive either acetylsalicylic acid or omega-3 fatty acids.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Aspirin® 500 mg tablets | Experimental | Dose: 1 tablet per day starting from visit 2 until visit 3, intake in the evening Ingredients: 500 mg acetylsalicylic acid, Cellulose powder, maize starche |
|
| Dr. Böhm® Omega 3 complex 870 mg | Experimental | Dose: 2 tablets per day starting from visit 2 until visit 3, intake in the evening |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aspirin 500Mg Tab | Drug | Dose: 1 tablet per day starting from visit 2 until visit 3, intake in the evening |
|
| Measure | Description | Time Frame |
|---|---|---|
| Concentration of omega-3 fatty acids/ASS detectable in Schirmer's tear strips using mass spectrometry | one week | |
| Change of nAUC (normalised area under the curve) of tear fluid metabolics from baseline to follow-up visit using mass spectrometry | one week |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the influence of omega-3 FA/ASS on lipid layer thickness | Lipid layer thickness will be measured by LipiView and expressed as nanometers | one week |
| To evaluate the influence of omega-3 FA/ASS on corneal sensation |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna, Department of Clinical Pharmacology | Vienna | 1090 | Austria |
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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 |
|---|---|
| D001241 | Aspirin |
| ID | Term |
|---|---|
| D012459 | Salicylates |
| D062385 | Hydroxybenzoates |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
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| Dr. Böhm® Omega 3 complex 870 mg | Dietary Supplement | Dose: 2 tablets per day starting from visit 2 until visit 3, intake in the evening |
|
Corneal sensation as measured by a Cochet-Bonnet aesthesiometer will be expressed as milimeters
| one week |
| To evaluate the influence of omega-3 FA/ASS on tear film break up time | Tear film break up time will be measured clinically and expressed as seconds | one week |
| To evaluate the influence of omega-3 FA/ASS on Schirmer-1 test | Schirmer-1 test will be expressed as milimetres/5 minutes | one week |
| To evaluate the influence of omega-3 FA/ASS on choroidal perfusion | choroidal perfusion will be measured using a LSFG device and expressed as mean blur rate | one week |
| To evaluate the influence of omega-3 FA/ASS on central macular thickness | central macular thickness will be measured by OCT and expressed as µm | one week |
| To evaluate the influence of omega-3 FA/ASS on vessel density as assessed by optical coherence tomography angiography | vessel density will be measured by OCTA | one week |
| To evaluate the influence of omega-3 FA/ASS on tear film osmolarity | tear film osmolarity will be measured by TearLab and expressed as mOsm/L | one week |
| Concentration of omega-3 fatty acids/ASS detectable in finger sweat samples and blood samples using mass spectrometry | one week |
| D006841 |
| Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |