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NCT Number: NCT02585414

Assessment of TFT by OCT in Healthy Subjects and Subjects With DES

Dry eye syndrome (DES) is a highly prevalent ocular condition with potential severe consequences for affected patients. DES can be either caused by decreased tear production or increased tear evaporation, both leading to an instable tear film. Despite many efforts, generally accepted methodologies to diagnose, assess the severity and monitor DES are still lacking. Moreover, widely used clinical methods such as tear break up time (BUT), fluorescein staining of the cornea or Schirmer test only poorly reflect patients´ complains.

One of the main problems in the diagnosis and treatment of DES is that the most critical component - the tear film itself - is difficult to characterize. The development of new ultra-high resolution optical coherence tomography systems allows now for the direct visualization of the human tear film and for the non-invasive in-vivo measurement of tear film thickness (TFT). The investigators could recently show that this system provides excellent reproducibility and is able to assess even subtle changes in TFT induced by therapeutic interventions. However, to which extent tear film thickness is associated with other standard clinical measures of DES is currently unknown. In the present study, the investigators set out to test the hypothesis that ocular TFT is a new and good surrogate parameter for the assessment of the severity of DES.

Consequently, the aim of the study presented in this protocol is to investigate whether and if so, to what extent clinical signs of DES and reported symptoms are reflected in ocular TFT. For this purpose, a cross sectional study in healthy subjects and patients with DES will be performed. This should allow the investigators to more specifically characterize the role of the tear film in DES and to assess whether measurement of TFT with OCT can be a promising surrogate parameter for the diagnosis and the follow up of DES.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Department of Clinical Pharmacology, Medical University of Vienna, Austria

Vienna, 1090, Austria

Location status: Recruiting

Location contact

Gerhard Garhofer, MD

CONTACT

[email protected]

+43 1 40400 ext. 29810

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Inclusion criteria

for healthy volunteers

  • Men and women aged over 18 years
  • Normal findings in the medical history unless the investigator considers an abnormality to be clinically irrelevant
  • Normal ophthalmic findings, ametropia < 6 Dpt.

Inclusion criteria

for patients with DES:

  • Men and women aged over 18 years
  • DES patients will be included based on three questions:
  • (1) "Have you ever been diagnosed (by a clinician) as having dry eye syndrome?"
  • (2) "Do you currently use artificial tear eyedrops or gel?"
  • (3) "For the past three months or longer, have you had dry eyes? (This is described as a foreign body sensation with itching and burning, sandy feeling, not related to allergy)."
  • Normal ophthalmic findings except dry eye syndrome

Exclusion criteria

  • Participation in a clinical trial in the 3 weeks preceding the study
  • Symptoms of a clinically relevant illness in the 3 weeks before the first study day
  • Wearing of contact lenses
  • Intake of dietary supplements in the 3 months preceding the study
  • History of glaucoma
  • Treatment with corticosteroids in the 4 weeks preceding the study to topical treatment with any ophthalmic drug in the 4 weeks preceding the study (topical lubricants for patients with DES are allowed)
  • Ocular infection or clinically significant inflammation
  • Ocular surgery in the 3 months preceding the study
  • Sjögren's syndrome
  • Stevens-Johnson syndrome
  • Pregnancy, planned pregnancy or lactating

Treatment and study plan

Primary outcomes

  1. Tear Film Thickness (TFT) as measured with Optical Coherence Tomography (OCT)

    Time frame: 1 month

Secondary outcomes

  1. Tear Break Up Time

    Time frame: 1 month

  2. Schirmer 1 test

    Time frame: 1 month

  3. Corneal staining according to Oxford scale

    Time frame: 1 month

  4. Tear osmolarity

    Time frame: 1 month

  5. Ocular Surface Disease Index (OSDI)

    Time frame: 1 month

Study contacts

Contact information is provided by the study sponsor or research team.

Doreen Schmidl, MD, PhD

CONTACT

[email protected]

+43 1 40400 ext. 29810

Gerhard Garhofer, MD

CONTACT

[email protected]

+43 1 40400 ext. 29810

Sponsors and collaborators

Lead sponsor

Medical University of Vienna

Other

Registry information

Official study title

Assessment of Tear Film Thickness by Optical Coherence Tomography in Healthy Subjects and Subjects With Dry Eye Disease

Important dates

Study start
2017
Primary completion
2026
Study completion
2026
First posted
Oct 23, 2015
Registry last updated
May 23, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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