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A Randomized Study of Smile Exercise for Dry Eye

Sun Yat-sen University logo

Sun Yat-sen University

Status

Completed

Conditions

Conjunctival Diseases
Dry Eye
Corneal Diseases
Eye Diseases
Keratoconjunctivitis Sicca

Treatments

Behavioral: smile exercise
Drug: 0.1% sodium hyaluronate eye drop

Study type

Interventional

Funder types

Other

Identifiers

NCT04421300
2020KYPJ010

Details and patient eligibility

About

The objective of the study is to evaluate the effectiveness of laughter therapy in relieving the symptoms of dry eye disease.

Full description

The study is designed to: Test the hypothesis that smile exercise is an effective treatment for Dry Eye Disease (DED) . Better understand the status of emotion, quality of sleep and life in DED patient by describing and evaluating a comprehensive set of features and treatment over 2 months of observation in a well-characterized group of patients.

Enrollment

299 patients

Sex

All

Ages

18 to 45 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  1. Sign the informed consent approved by the Ethics Committee,

  2. 18 to 45 years of age,

  3. Meetting the dry eye diagnostic criteria of DEWs Ⅱ and demonstrating the following 2 condition in the same eye at screening and baseline visits (Same signs must present at both in Screening visit and Baseline visit). The same signs must be present in the same eye on both visits. The following parameters:.

    • Ocular Surface Disease Index (OSDI) score: 18-80 at and baseline visit.
    • Tear film break up time (TFBUT)<8s.
  4. Best corrected visual acuity ≥10/20 in each eye

  5. Intraocular pressure (IOP) ≥5mmHg and≤21mmHg in each eye

  6. Women of child-bearing potential must agree to use a reliable method of contraception during study participation and must demonstrate a negative urine pregnancy test at the Screening Visit.

  7. Feasible for all visits and willing to follow instructions from the study investigator.

Exclusion criteria

  1. Corneal fluorescein staining present >5 score.

  2. Contact lens wearing history:

    • Used contact lenses within last 14 days prior to the Screening Visit.
    • Unwilling to avoid using contact lenses druing the study.
  3. Any corneal surgery within 12 months before Screening Visit .

  4. Participation in other medical studies 3 months before screening Visit.

  5. Current or previous diagnosis of any following ocular conditions in 3 months:

    i). acute allergic conjunctivitis ii). infection (e.g. bacterial, viral, protozoan or fungal infection of the cornea, conjunctiva, lacrimal gland, lacrimal sac or eyelids) iii). inflammation (e.g., retinitis, macular inflammation, choroiditis, uveitis, scleritis, episcleritis, keratitis)

  6. Eyelid abnormalities that affect lid function (e.g. lagophthalmos, blepharospasm, ectropion, entropion, severe trichiasis, etc.)

  7. Extensive ocular surface scarring or condition that may compromise ocular surface integrity such as Stevens-Johnson syndrome, prior chemical burn, recurrent corneal erosions, persistent corneal epithelial defects, prior ocular trauma, etc.)

  8. Currently diagnosis of glaucoma and under glaucoma medication or surgery treatment

  9. Currently using, or intent to have any specific treatments for dry eye disease

  10. Fluorescein sodium allergy

  11. Pregnant, nursing, or lactating

  12. Neurological or psychiatric disorders (moderate anxiety, depression and sleep disorders)

  13. Uncontrolled ocular or systemic diseases

  14. History of epilepsy .

  15. The researchers did not consider the patient is appropriate for inclusion in this study

  16. Cognitive or psychiatric defect that precludes informed consent or ability to perform requirements in the investigation.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

299 participants in 2 patient groups

smile exercise
Experimental group
Description:
smile exercise, 4 times a day,8 weeks
Treatment:
Behavioral: smile exercise
0.1% Sodium Hyaluronate Eye Drops
Active Comparator group
Description:
0.1% sodium hyaluronate, 4 times a day, 8 weeks.
Treatment:
Drug: 0.1% sodium hyaluronate eye drop

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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