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一种用于治疗干眼症患者泪膜稳定性和视觉功能的新型人工泪液制剂的评估。

Evaluation of a new artificial tear formulation for the management of tear film stability and visual function in patients with dry eye.

作者信息

Torkildsen Gail, Brujic Mile, Cooper Michael S, Karpecki Paul, Majmudar Parag, Trattler William, Reis Meryl, Ciolino Joseph B

机构信息

Andover Eye Clinic, Andover MA.

Premier Vision Group, Bowling Green, OH.

出版信息

Clin Ophthalmol. 2017 Oct 19;11:1883-1889. doi: 10.2147/OPTH.S144369. eCollection 2017.

DOI:10.2147/OPTH.S144369
PMID:29089744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5656345/
Abstract

PURPOSE

Artificial tears are the first line of therapy for dry eye disease (DED) and are also the most frequently used treatment approach for this common condition. Despite this, there are few published studies that directly compare the effectiveness of different drop preparations, especially those formulated specifically for dry eye. In this study, we tested a new artificial tear product, Rohto Dry-Aid™, for its ability to relieve the signs and symptoms of DED. The study used a second drop, Systane Ultra, as a positive comparator.

MATERIALS AND METHODS

This was a prospective, single-center, open-label, parallel-group study comparing the effects of the two products when used continuously over ~30 days (Clinical Trials registration number NCT03183089). Subjects were randomly assigned to one of the two test groups and were monitored 2 and 4 weeks after enrollment. Efficacy endpoints included ocular staining, visual function, and ocular discomfort.

RESULTS

Treatment groups had similar ocular staining and ocular comfort scores, and both showed statistically significant ocular discomfort score improvement. Subjects in the Rohto group reported significant improvements in visual tasking activities such as watching television and driving at night. There was also a tendency for diary symptom scores to worsen from morning to evening in the Systane group, but not in the Rohto group; this trend was not significant, but warrants further study.

CONCLUSION

The two products, Rohto Dry-Aid and Systane Ultra, elicited comparable effects on the signs and symptoms of DED. While both products are designed to provide long-lasting relief, subjects in the Rohto group experienced a superior relief from discomfort associated with visual tasking activities and daily diaries, indicating that the Rohto drops may provide a longer duration of symptomatic relief over the course of the day.

摘要

目的

人工泪液是干眼症(DED)的一线治疗方法,也是这种常见病症最常用的治疗手段。尽管如此,很少有已发表的研究直接比较不同滴眼剂制剂的有效性,尤其是专门为干眼症配制的制剂。在本研究中,我们测试了一种新型人工泪液产品乐敦干眼援助(Rohto Dry-Aid™)缓解干眼症体征和症状的能力。该研究使用另一种滴眼剂思然倍润(Systane Ultra)作为阳性对照。

材料与方法

这是一项前瞻性、单中心、开放标签、平行组研究,比较了两种产品连续使用约30天的效果(临床试验注册号NCT03183089)。受试者被随机分配到两个测试组之一,并在入组后2周和4周进行监测。疗效终点包括眼部染色、视觉功能和眼部不适。

结果

治疗组的眼部染色和眼部舒适度评分相似,且两者的眼部不适评分均有统计学意义的改善。乐敦组的受试者报告在诸如看电视和夜间驾驶等视觉任务活动方面有显著改善。思然组的日记症状评分也有从早晨到晚上恶化的趋势,但乐敦组没有;这种趋势不显著,但值得进一步研究。

结论

乐敦干眼援助和思然倍润这两种产品对干眼症的体征和症状产生了可比的效果。虽然两种产品都旨在提供持久缓解,但乐敦组的受试者在与视觉任务活动和日常记录相关的不适方面缓解效果更佳,这表明乐敦滴眼剂在一天中可能提供更长时间的症状缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c3e/5656345/6727d0c94fdb/opth-11-1883Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c3e/5656345/6727d0c94fdb/opth-11-1883Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c3e/5656345/6727d0c94fdb/opth-11-1883Fig1.jpg

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