MGD: EyeBag Effectiveness in Meibomian Gland Dysfunction
Study Details
Study Description
Brief Summary
Meibomian gland dysfunction (MGD) is a common condition that causes the secretion from meibomian glands in the eyelids to become blocked. Normally, the secretion helps to maintain a healthy tear film. In MGD, the tear film becomes unstable and often causes dry eye symptoms. Treatments often involve gently warming the eyelids to melt this blockage which prevents tears from spreading over the eye. Although there has been some research on application of heat with warm moist flannels, the Eye Bags potentially offers a simpler and more effective method of applying heat to the eyelids. This study will test the efficiency of these eyelid warming devices over a period of two weeks use in one eye compared to the other non-treated eye.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Study Design
Contralateral treatment study Randomised eye treated with heated eyebag in the morning and evening each day as per manufacturer's instructions Other eye acts as control with room temperature eyebag overlaid in same manner as treatment eye Investigators masked SMS messaging twice a day for 14 days to remind patients to use eyebag and collect 0-10 comfort score
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: EyeBag Eye self-treated with heated eyebag in the morning and evening each day as per manufacturer's instructions (see http://www.eyebagcompany.com/how) |
Device: EyeBag
fabric bag of beads which can be heated in a microwave
Other Names:
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Placebo Comparator: Placebo Non-heated EyeBAG: As with eyebag arm but second eyebag applied on other eye at same time BUT not heated |
Other: Placebo
Other Names:
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Outcome Measures
Primary Outcome Measures
- Change in Ocular Symptoms [Between baseline and 2 weeks]
Ocular symptomology: Ocular Surface Disease Index for right and left eyes
- Change in Tear Film Quality [Between baseline and 2 weeks]
Non-invasive tear break up time: 3 measurements per eye
Secondary Outcome Measures
- Change in Ocular redness [Between baseline and 2 weeks]
Ocular hyperaemia: limbal and temporal conjunctiva for both eyes, images captured
- Change in Lipid layer thickness [Between baseline and 2 weeks]
Tear film lipid layer thickness: for right and left eyes, images captured with Tearscope
- Change in Meibomian Glands [Between baseline and 2 weeks]
Meibography: for right and left eyes, images captured using Keratograph 5 leading to change in area score
Eligibility Criteria
Criteria
Inclusion Criteria:
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18 or over
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Have otherwise healthy eyes
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Are prepared not to wear contact lens for the 2 weeks of the trial
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Have a NITBUT <10s
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OSDI score: greater than or equal to 12
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Symptom frequency at least "some of the time"
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Presence of cloudy fluid expressed from at least 1 of the central 8 glands on the lower/upper lid AND/OR presence of poor expressibility from at least 2-3 of the central 8 glands on the lower lid
Exclusion Criteria:
• Blepharitis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Aston University | Birmingham | West Midlands | United Kingdom | B47ET |
Sponsors and Collaborators
- Aston University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2013MGD