» Articles » PMID: 37892784

Tear Film Stabilization and Symptom Improvement in Dry Eye Disease: The Role of Hyaluronic Acid and Trehalose Eyedrops Versus Carmellose Sodium

Abstract

This study evaluated the effectiveness of hyaluronic acid and trehalose (HA/trehalose) eyedrops in managing dry eye disease (DED) symptoms by measuring tear stability and administering a DED questionnaire. Sixty patients were treated with either HA/trehalose eyedrops (Tear A) or carmellose sodium eyedrops (Tear B) as controls. The tear breakup time (TBUT) and non-invasive breakup time (NIBUT) were monitored, and patients completed the standard patient evaluation of eye dryness (SPEED) questionnaire. After two months of twice-daily applications, patients treated with the HA/trehalose eyedrops demonstrated significant improvements in the NIBUT (12.98 ± 3.22 s) and TBUT (12.95 ± 2.98 s), indicating increased tear stability. Moreover, they reported lower dry eye sensation (6.70 ± 4.94 SPEED score points), suggesting a reduction in DED symptoms. These findings underscore the efficacy of HA/trehalose eyedrops in improving both the objective and subjective signs of DED, with twice-daily application enhancing ocular surface conditions and reducing patient-reported symptoms.

Citing Articles

A Preservative-Free Combination of Sodium Hyaluronate and Trehalose Improves Dry Eye Signs and Symptoms and Increases Patient Satisfaction in Real-Life Settings: The TEARS Study.

Mateo-Orobia A, Farrant S, Del-Prado-Sanz E, Blasco-Martinez A, Idoipe-Corta M, Lafuente-Ojeda N Ophthalmol Ther. 2024; 13(12):3123-3134.

PMID: 39432158 PMC: 11564544. DOI: 10.1007/s40123-024-01044-4.


Topical Solution for Retinal Delivery: Bevacizumab and Ranibizumab Eye Drops in Anti-Aggregation Formula (AAF) in Rabbits.

Giannos S, Kraft E, Luisi J, Schmitz-Brown M, Reffatto V, Merkley K Pharm Res. 2024; 41(6):1247-1256.

PMID: 38839719 PMC: 11196329. DOI: 10.1007/s11095-024-03721-2.

References
1.
Ngo W, Situ P, Keir N, Korb D, Blackie C, Simpson T . Psychometric properties and validation of the Standard Patient Evaluation of Eye Dryness questionnaire. Cornea. 2013; 32(9):1204-10. DOI: 10.1097/ICO.0b013e318294b0c0. View

2.
Schmidl D, Schmetterer L, Witkowska K, Unterhuber A, Aranha Dos Santos V, Kaya S . Tear film thickness after treatment with artificial tears in patients with moderate dry eye disease. Cornea. 2015; 34(4):421-6. DOI: 10.1097/ICO.0000000000000358. View

3.
Astolfi G, Lorenzini L, Gobbo F, Sarli G, Versura P . Comparison of Trehalose/Hyaluronic Acid (HA) vs. 0.001% Hydrocortisone/HA Eyedrops on Signs and Inflammatory Markers in a Desiccating Model of Dry Eye Disease (DED). J Clin Med. 2022; 11(6). PMC: 8948919. DOI: 10.3390/jcm11061518. View

4.
Lyu Y, Zeng X, Li F, Zhao S . The effect of the duration of diabetes on dry eye and corneal nerves. Cont Lens Anterior Eye. 2019; 42(4):380-385. DOI: 10.1016/j.clae.2019.02.011. View

5.
Pinto-Bonilla J, Del Olmo-Jimeno A, Llovet-Osuna F, Hernandez-Galilea E . A randomized crossover study comparing trehalose/hyaluronate eyedrops and standard treatment: patient satisfaction in the treatment of dry eye syndrome. Ther Clin Risk Manag. 2015; 11:595-603. PMC: 4403513. DOI: 10.2147/TCRM.S77091. View