Dry Eye Syndromes Clinical Trial
Official title:
Efficiency and Changes of Cytokines Expression in Tear After Intense Pulsed Light Treating Evaporated Dry Eye With Demodicosis
The aim of the current study is to investigate changes of tear cytokines levels as well as the efficacy and the reduction of demodex infestation after OPT IPL treatment in patients with meibomian gland dysfunction-Associated demodicosis. The effect of OPT IPL will be examined in a study designed as a randomised controlled trial. In the study arm, subjects will undergo 4 treatment sessions, consisting of OPT IPL pulses immediately followed by meibomian gland expression (MGX). In the control arm, subjects will undergo the same treatments, except that the OPT IPL pulses will be disabled. For each subject, the duration of the study will be 2 months , as explained in the detailed description.
All subjects will receive 4 treatments at 2 weeks intervals. In each treatment session, a
subject allocated to the study group will be treated with Optimal pulsed technology intense
pulsed light (OPT IPL) administered in the malar region, from tragus to tragus including the
nose, 2-3 mm below the lower eyelids. Immediately following the OPT IPL administration, the
subject will undergo meibomian gland expression (MGX) in both eyelids of both eyes. Subjects
in the control arm will receive exactly the same treatment, except that the OPT IPL
administration will be sham. A single follow-up will occur at 2 months after the baseline (or
2 weeks after the 4th treatment session). At the follow-up, the changes in the outcome
measures will be evaluated, and compared between the two arms.
For each subject, the duration of the study will be 2 months: 1st treatment at baseline; 2nd
treatment at 2 weeks after baseline; 3rd treatment at 4 weeks after baseline; 4th treatment
at 6 weeks after baseline; and a single follow-up at 8 weeks after baseline).
Statistically significant differences between the two arms will support the study hypothesis
that IPL treatment is potentially reduce demodex counts and decrease levels of cytokines ,
and relief to both signs and symptoms of dry eye disease.
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