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CompletedNCT01013077Updated Jun 12, 2025Results posted

The Effect of a New Emulsion in Dry Eye Patients on Tear Layer Aberrometry, Contrast Sensitivity, and Reading Ability

An interventional study of Optive, Soothe, New Emulsion and Soothe, New Emulsion, Optive in Dry Eye Syndrome, sponsored by Southern California College of Optometry at Marshall B. Ketchum University. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-12.

Sponsored by Southern California College of Optometry at Marshall B. Ketchum University · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate how the addition of a new emulsion artificial tear to the tear layer of dry eye and normal patients affects aberrometry, contrast sensitivity, and reading ability over time. Previous studies have indicated that daily use of artificial tears over a two week period decreases the short term affect of drop application on aberrometry and contrast sensitivity measurements. The present study will examine the effects of 4 weeks of artificial tear use to determine when the responses stabilize.

Read the detailed description

Dry eye patients experience symptoms such as; irritation, dryness, a scratchy sensation, and blur. These symptoms are the result of an insufficient tear layer. Blur can occur in dry eye patients because of an irregular tear film surface.

Artificial tears are applied to the eye to treat a variety of eye conditions. These conditions typically are associated with dry eyes and include tear film deficiency due to ocular or systemic disease, lid resurfacing problems, and contact lens wear. The artificial tears are used to alleviate the dry eye symptoms.

Dry eye is a frequently encountered ocular condition. Recent studies estimate that 7.8% of women and 4.8% of men over the age of 50 suffer from dry eye. The administration of an artificial tear to the eye can disrupt the tear layer and this disruption could then result in a change in contrast sensitivity for a few moments. Aberrometry is a technique that is able to monitor tear layer disruption and its results may correlate with contrast sensitivity changes.

Tear layer disruption results in a decrease in the modulation transfer function (MTF) for the eye. Since the tear layer is the first refracting surface of the eye, its disruption can also result in a change in contrast sensitivity, visual acuity, and aberrometry. Previous work has demonstrated that higher order aberrations increase 1.44 fold after the tear film breaks up in normal subjects. Dry eye subjects demonstrate a significant increase in higher order aberrations (i.e., total S3+4+5, spherical-like S4, and coma-like S3+5) when compared to normal subjects. This has been interpreted to be the result of increased tear irregularities in the dry eye subjects.

When an artificial tear (i.e., Vismed) was applied to the tear layer of dry eye subjects, the optical aberrations decreased. This previous study only examined the short term affect (less than 10 minutes) of a single administration of an artificial tear. In this study, we propose to examine the short and long term effects of a new emulsion on contrast sensitivity, optical aberrations, and reading ability after administration into the tear layer of normal and dry eye subjects.

02

Conditions studied

  • Dry Eye Syndrome

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Keywords

  • functional vision
  • contrast sensitivity
  • aberrometry
  • reading ability
03

In context

Dry Eye Syndromes

1,366 studies on the registry are indexed under Dry Eye Syndromes; 207 are open to participants now.

This study's enrollment of 20 is below the median of 60 across 1,129 interventional studies indexed under Dry Eye Syndromes.

Browse Dry Eye Syndromes studies →

Lead sponsor

Southern California College of Optometry at Marshall B. Ketchum University is the lead sponsor of 19 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • mild, moderate, or severe symptoms of dry eye

Exclusion criteria

Exclusion Criteria:

  • uncontrolled systemic disease
  • contact lens wear
  • participation in another clinical trial
  • best corrected visual acuity poorer than 20/25
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Optive, Soothe, New Emulsion

    Subjects do not use artificial tears for one week followed by 1 month using Optive two times per day. One week washout then 1 month Soothe two times per day followed by one week washout and one month New Emulsion 2 times per day.

    Other: Optive, Soothe, New Emulsion

  • Experimental
    Soothe, New Emulsion, Optive

    Subjects do not use artificial tears for one week followed by 1 month using Soothe two times per day. One week washout then 1 month New Emulsion two times per day followed by one week washout and one month Optive 2 times per day.

    Other: Soothe, New Emulsion, Optive

  • Experimental
    New Emulsion, Optive, Soothe

    Subjects do not use artificial tears for one week followed by 1 month using New Emulsion two times per day. One week washout then 1 month Optive two times per day followed by one week washout and one month Soothe 2 times per day.

    Other: New Emulsion, Optive, Soothe

Interventions

  • OtherOptive, Soothe, New Emulsion

    One week without artificial tear use followed by Optive use a minimum of 2 drops per day for 1 month. One week without artificial tear use followed by Soothe use a minimum of 2 drops per day for 1 month. One week without artificial tear use followed by the New Emulsion use a minimum of 2 drops per day for 1 month.

  • OtherSoothe, New Emulsion, Optive

    One week without artificial tear use followed by Soothe use a minimum of 2 drops per day for 1 month. One week without artificial tear use followed by New Emulsion use a minimum of 2 drops per day for 1 month. One week without artificial tear use followed by the Optive use a minimum of 2 drops per day for 1 month.

  • OtherNew Emulsion, Optive, Soothe

    One week without artificial tear use followed by New Emulsion use a minimum of 2 drops per day for 1 month. One week without artificial tear use followed by Optive use a minimum of 2 drops per day for 1 month. One week without artificial tear use followed by the Soothe use a minimum of 2 drops per day for 1 month.

06

What researchers measure

Primary outcomes

  1. Contrast Sensitivity

    Change in contrast sensitivity with administration of the artificial tear. During a visit, contrast sensitivity is initially monitored for several minutes (i.e., pre-artificial tear application contrast sensitivity) and the artificial tear is then applied and the contrast sensitivity is continually measured for several more minutes (post-artificial tear application contrast sensitivity). The administration of the artificial tear decreases contrast sensitivity for approximately a minute. The data reported in the table is the change in contrast sensitivity from pre-artificial tear administration to the peak loss in contrast sensitivity after the artificial tear administration (negative values). This procedure is carried out before the subjects use artificial tears on a daily basis (i.e., baseline data) and for several weeks after using artificial tears on a daily basis (i.e., weeks 1, 2, and 4) to determine if there is an adaptation to the artificial tear.

    Time frame: Baseline, 1 week, 2 weeks, 4 weeks

07

Results

Posted Jun 12, 2025

Participant flow

Subjects were recruited from the patients and staff of the clinic. The recruitment period was from 10/1/2009 till 7/30/2010.

Participant flow — Overall Study
MilestoneOptive, Soothe, New EmulsionSoothe, New Emulsion, OptiveNew Emulsion, Optive, Soothe
Started776
Completed776
Not completed000

Outcome measures

PrimaryContrast Sensitivity

Change in contrast sensitivity with administration of the artificial tear. During a visit, contrast sensitivity is initially monitored for several minutes (i.e., pre-artificial tear application contrast sensitivity) and the artificial tear is then applied and the contrast sensitivity is continually measured for several more minutes (post-artificial tear application contrast sensitivity). The administration of the artificial tear decreases contrast sensitivity for approximately a minute. The data reported in the table is the change in contrast sensitivity from pre-artificial tear administration to the peak loss in contrast sensitivity after the artificial tear administration (negative values). This procedure is carried out before the subjects use artificial tears on a daily basis (i.e., baseline data) and for several weeks after using artificial tears on a daily basis (i.e., weeks 1, 2, and 4) to determine if there is an adaptation to the artificial tear.

Time frame:
Baseline, 1 week, 2 weeks, 4 weeks
Reported as:
Mean · arbitrary units
Contrast Sensitivity
arbitrary unitsOptive NormalSoothe NormalNew Emulsion NormalOptive Dry EyeSoothe Dry EyeNew Emulsion Dry Eye
Baseline-0.375 ± 0.139-0.169 ± 0.133-0.313 ± 0.094-0.264 ± 0.117-0.268 ± 0.081-0.364 ± 0.063
Week 1-0.373 ± 0.111-0.118 ± 0.148-0.290 ± 0.081-0.275 ± 0.083-0.289 ± 0.113-0.446 ± 0.090
Week 2-0.186 ± 0.109-0.232 ± 0.138-0.178 ± 0.139-0.156 ± 0.076-0.226 ± 0.057-0.308 ± 0.109
Week 4-0.246 ± 0.123-0.366 ± 0.144-0.098 ± 0.074-0.433 ± 0.079-0.193 ± 0.051-0.386 ± 0.135

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Optive—0/20 (0%)0/20 (0%)
Soothe—0/20 (0%)0/20 (0%)
New Emulsion—0/20 (0%)0/20 (0%)

Baseline characteristics

The data from each drop was combined for all arms.

Age, Categorical
Age, Categorical(Participants)Optive, Soothe, New EmulsionSoothe, New Emulsion, OptiveNew Emulsion, Optive, SootheTotal
<=18 years0000
Between 18 and 65 years77620
>=65 years0000
Age, Continuous
Age, Continuous(years)Optive, Soothe, New EmulsionSoothe, New Emulsion, OptiveNew Emulsion, Optive, SootheTotal
Mean23.8 ± 1.6022.6 ± 1.6724.4 ± 2.0723.6 ± 1.82
Sex: Female, Male
Sex: Female, Male(Participants)Optive, Soothe, New EmulsionSoothe, New Emulsion, OptiveNew Emulsion, Optive, SootheTotal
Female76417
Male0123
Region of Enrollment
Region of Enrollment(participants)Optive, Soothe, New EmulsionSoothe, New Emulsion, OptiveNew Emulsion, Optive, SootheTotal
United States77620
08

Study locations

1 site
  • Southern California College of Optometry
    Fullerton, California 92831, United States
09

References and documents

Publications

  • Thai LC, Tomlinson A, Ridder WH. Contact lens drying and visual performance: the vision cycle with contact lenses. Optom Vis Sci. 2002 Jun;79(6):381-8. doi: 10.1097/00006324-200206000-00012. PubMed 12086305 ↗
  • Ridder WH 3rd, Lamotte JO, Ngo L, Fermin J. Short-term effects of artificial tears on visual performance in normal subjects. Optom Vis Sci. 2005 May;82(5):370-377. doi: 10.1097/01.OPX.0000162646.30666.E3. PubMed 15894913 ↗
  • Ridder WH 3rd, LaMotte J, Hall JQ Jr, Sinn R, Nguyen AL, Abufarie L. Contrast sensitivity and tear layer aberrometry in dry eye patients. Optom Vis Sci. 2009 Sep;86(9):E1059-68. doi: 10.1097/OPX.0b013e3181b599bf. PubMed 19648840 ↗

Individual participant data

Plan to share: No — All data is available upon request.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 12, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01013077
Lead sponsor
Southern California College of Optometry at Marshall B. Ketchum University
Collaborators
Allergan
Responsible party
William Ridder (Professor, Southern California College of Optometry at Marshall B. Ketchum University) — Principal investigator
First posted
Nov 13, 2009
Start date
Nov 2009
Primary completion
Mar 2011
Completion
Aug 2011
Results posted
Jun 12, 2025
Last update
Jun 12, 2025

Study contacts

William H. Ridder, OD, PhD
principal investigator · Southern California College of Optometry at Marshall B. Ketchum University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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