ClinicalTrials.gg
CompletedNCT03396913Updated Dec 9, 2020Results posted

Effectiveness of Intense Pulsed Light for Improving Dry Eye Syndrome

An interventional study of IPL and Sham IPL in Dry Eye Syndrome, sponsored by Lumenis Be Ltd.. Completed at 2 sites in United States. Open to participants aged 22 Years to 85 Years. Per ClinicalTrials.gov, last updated 2020-12-09.

Sponsored by Lumenis Be Ltd. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
22 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 542 studies in Dry Eye Syndromes with a site in United States — 51 open to participants now, 61 under way, 3 of them phase 3. Dry Eye Syndromes · United States.

Enrollment
200th of 472
88 · median 60
Started
2018
with 35 others
No phase
135 of 542
10 open now
Registered
253rd of 542
by date

Among the 542 studies in Dry Eye Syndromes with a site in United States, this one is the 200th largest by enrollment of the 472 interventional ones that give a count, is one of 36 that started in 2018, is one of 135 with no phase, and was the 253rd registered.

Dry Eye Syndromes

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

Browse Dry Eye Syndromes studies →

Open to participants now

51 of the 542 studies in Dry Eye Syndromes with a site in United States are open now. Recruiting first, the newest first:

46 more — sign in →

All 51 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 116 Dry Eye Syndromes studies recruiting now, 73 (63%) set no upper age limit and 24 (21%) stop at 75 or younger; 7 take children under 18; 29 take healthy volunteers.

This study: 22 Years to 85 Years · all sexes · no healthy volunteers.

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02

Study summary

The aim of the current study is to examine the contribution of intense pulsed light (IPL) for relieving signs and symptoms of dry eye due to meibomian gland dysfunction. The effect of IPL will be examined in a study designed as a randomized controlled trial. In the study arm, subjects will undergo 4 treatment sessions, consisting of IPL pulses immediately followed by meibomian gland expression (MGX). In the control arm, subjects will undergo the same treatments, except that the IPL pulses will be disabled. For each subject, the duration of the study will be 10 weeks, as explained in the detailed description.

Read the detailed description

Outcome measures (tear break-up time,meibography, self-assessed symptoms and close up photos of the lid margins) will be measured at baseline. 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 intense pulsed light (IPL) administered in the malar region, from tragus to tragus including the nose, 2-3 mm below the lower eyelids. Immediately following the 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 IPL administration will be sham. A single follow-up will occur at 10 weeks after the baseline (or 4 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 10 weeks: 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 10 weeks after baseline).

Statistically significant differences between the two arms will support the study hypothesis that IPL treatment itself provides relief to both signs and symptoms of dry eye disease.

03

Conditions studied

  • Dry Eye Syndrome

Keywords

  • Intense Pulsed Light
  • Meibomian Gland Dysfunction
  • Dry Eye Disease
04

Who can participate

Ages eligible
22 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Subject is able to read, understand and sign an (IC) form
  • 22-85 years of age
  • Subject is able and willing to comply with the treatment/follow-up (FU) schedule and requirements
  • In the study eye, Tear Breakup time (TBUT) ≤ 7 seconds
  • In the study eye, Meibomian Gland Score (MGS) ≤ 12
  • In the study eye, at least 5 non-atrophied meibomian glands in the lower eyelid
  • Symptoms self-assessed using the Ocular Surface Disease Index (OSDI) questionnaire ≥ 23

Exclusion criteria

Exclusion Criteria:

  • Fitzpatrick skin type V or VI
  • Contact lens wear within the month prior to screening
  • Unwilling to discontinue use of contact lenses for the duration of the study
  • Ocular surgery or eyelid surgery, within 6 months prior to screening
  • Neuro-paralysis in the planned treatment area, within 6 months prior to screening
  • Other uncontrolled eye disorders affecting the ocular surface, for example active allergies
  • Current use of punctal plugs
  • Pre-cancerous lesions, skin cancer or pigmented lesions in the planned treatment area
  • Uncontrolled infections or uncontrolled diseases
  • Subjects with ocular infections, within 6 months prior to screening
  • Prior history of cold sores or rashes in the perioral area or in the planned treatment area that could be stimulated by light at a wavelength of 560 nm to 1200 nm, including: Herpes simplex 1 \& 2, Systemic Lupus erythematosus, and porphyria
  • Within 3 months prior to screening, use of photosensitive medication and/or herbs that may cause sensitivity to 560-1200 nm light exposure, including: Isotretinoin, Tetracycline, Doxycycline, and St. John's Wort
  • Over exposure to sun, within 4 weeks prior to screening
  • Use of prescription eye drops for dry eye, within 7 days prior to screening, excluding artificial tears and glaucoma drops
  • Radiation therapy to the head or neck, within 12 months prior to screening
  • Planned radiation therapy, within 8 weeks after the last treatment session
  • Treatment with chemotherapeutic agent, within 8 weeks prior to screening
  • Planned chemotherapy, within 8 weeks after the last treatment session
  • New topical treatments within the area to be treated, or oral therapies, within 3 months prior to screening- except over-the-counter acetaminophen-based analgesics for pain management, new oral omega 3 fatty acid supplements and topical artificial tears
  • Change in dosage of any systemic medication, within 3 months prior to screening
  • Anticipated relocation or extensive travel outside of the local study area preventing compliance with follow-up over the study period
  • Legally blind in either eye
  • History of migraines, seizures or epilepsy
  • Facial IPL treatment, within 12 months prior to screening
  • Any thermal treatment of the eyelids, including Lipiflow, within 6 months prior to screening
  • Expression of the meibomian glands, within 6 months prior to screening
  • In either eye, moderate to severe (Grade 3-4) inflammation of the conjunctiva, including: allergic, vernal or giant papillary conjunctivitis
  • In either eye, severe (Grade 4) inflammation of the eyelid, including: blepharochalasis, staphylococcal blepharitis or seborrheic blepharitis
  • Ocular surface abnormality that may compromise corneal integrity in either eye (e.g., prior chemical burn, recurrent corneal erosion, corneal epithelial defect, Grade 3 corneal fluorescein staining, or map dot fingerprint dystrophy)
  • Eyelid abnormalities that affect lid function in either eye, including: entropion, ectropion, tumor, edema, blepharospasm, lagophthalmos, severe trichiasis, and severe ptosis
  • Any systemic condition that may cause dry eye disease, including: Stevens-Johnson syndrome, vitamin A deficiency, rheumatoid arthritis, Wegener's granulomatosis, sarcoidosis, leukemia, Riley-Day syndrome, systemic lupus erythematosus, and Sjögren's syndrome
  • Unwilling or unable to abstain from the use of medications known to cause dryness (e.g., isotretinoin, antihistamines) throughout the study duration. Subjects must discontinue these medications for at least 1 month prior to the baseline visit.
  • Any condition revealed whereby the investigator deems the subject inappropriate for this study
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
88 participants (actual)

Study arms

  • Experimental
    IPL followed by Meibomian Gland Expression (MGX)

    Subjects in the experimental arm with receive IPL followed by MGX: IPL pulses will be administered on the skin of the malar region (both cheeks, from tragus to tragus including the nose) and below the lower eyelids. Following IPL therapy, subjects will undergo MGX of both eyelids in both eyes.

    Device: IPL · Procedure: MGX

  • Sham comparator
    Sham IPL followed by MGX

    Subjects in the sham comparator arm with receive Sham IPL followed by MGX: Sham IPL pulses will be administered on the skin of the malar region (both cheeks, from tragus to tragus including the nose) and below the lower eyelids. Following Sham IPL therapy, subjects will undergo MGX of both eyelids in both eyes.

    Device: Sham IPL · Procedure: MGX

Interventions

  • DeviceIPL

    Intense pulsed light (IPL) is a non-invasive and non-laser light treatment that is FDA-approved for various conditions in dermatology. Subjects will receive a total of 4 IPL treatments over the course of the study, at intervals of 2 weeks. Each treatment will include applications of 10-15 IPL pulses in the malar region and close to the lower eyelids, followed by meibomian gland expression.

  • DeviceSham IPL

    Sham intense pulsed light (IPL) will be implemented with an IPL device in which all light is blocked by a filter. Subjects will receive a total of 4 sham treatments over the course of the study, at intervals of 2 weeks. Each treatment will include applications of10-15 sham pulses in the malar region and close to the lower eyelids, followed by meibomian gland expression.

  • ProcedureMGX

    Meibomian gland expression (MGX) will be implemented by squeezing the meibomian glands with the aid of two Q-tips positioned on either side of the meibomian glands, or with a meibomian gland expressor forceps

06

What researchers measure

Primary outcomes

  1. Change of Baseline Tear Breakup Time (TBUT)

    Change of Tear breakup time (TBUT) in the study eye, from baseline to follow-up. TBUT is measured in seconds. Higher values mean better outcome.

    Time frame: 10 weeks

Secondary outcomes

  1. Change From Baseline Ocular Surface Disease Index (OSDI)

    Change of self-assessed symptoms with the Ocular Surface Disease Index (OSDI) questionnaire, from baseline to follow-up. OSDI was collected per patient (one number per patient). The minimal number is 0 and the maximal number is 100. Higher scores mean worse outcome. A score of 0-12 is considered normal. A score of 13-22 is consistent with mild dry eye. A score of 23 to 32 is consistent with moderate dry eye. A score from 33 to 100 is consistent with severe dry eye.

    Time frame: 10 weeks

  2. Change From Baseline Eye Dryness Score (EDS)

    Change of self-assessed symptoms on a visual analog scale (VAS) , from baseline to follow-up, in both eyes. Values were collected separately for each eye. Correlation between eyes was removed by statistical methods. Scores were 0 (minimum) to 100 (maximum). Higher scores = worse outcome. VAS scores are not validated for dry eye. Hence, it is not known how to correlate VAS values to severity levels of dry eye. However, one can make estimations from the literature of VAS in other conditions. For example, in patients with chronic musculoskeletal pain, in a VAS scale of 0 to 10 scores below 3.4 corresponded to mild pain, scores between 3.5 and 7.4 corresponded to moderate pain, and scores above 7.5 corresponded to severe pain. Using such results from other conditions, it is \*estimated\* that values between 0 and 34 correspond to mild symptoms, scores between 35 and 74 correspond to moderate symptoms, and scores above 75 correspond to severe symptoms.

    Time frame: 10 weeks

Other outcomes

  1. Qualitative Assessment of Eyelid Appearance

    High resolution photos of the upper and lower eyelids in both eyes

    Time frame: 10 weeks

  2. Meiboscore

    The difference in the percentage of area loss of meibomian glands, as evaluated using meibography, between eyes in the study arm and eyes in the control arm

    Time frame: 10 weeks

  3. Percentage of Eyes With Normal Tear Break-Up Time (TBUT)

    The difference in the proportion of eyes with normal TBUT (TBUT \> 10 sec) at follow-up, between study eyes in the study arm and study eyes in the control arm

    Time frame: 10 weeks

  4. Percentage of Subjects With Normal Ocular Surface Disease Index (OSDI)

    The difference in the proportion of subjects with normal OSDI (OSDI \< 23) at FU, between study eyes in the study arm and study eyes in the control arm

    Time frame: 10 weeks

  5. Incidence of Ocular Adverse Events

    The difference in the incidence of ocular adverse events, between subjects in the study arm and subjects in the control arm

    Time frame: 10 weeks

  6. Incidence of Non-ocular Adverse Events

    The difference in the incidence of non ocular adverse events, between subjects in the study arm and subjects in the control arm

    Time frame: 10 weeks

  7. Incidence of Unanticipated Serious Adverse Events

    The difference in the incidence of unanticipated serious adverse events, between subjects in the study arm and subjects in the control arm

    Time frame: 10 weeks

  8. Immediate Biomicroscopy

    difference in the change of bio-microscopy examinations pre- and post- treatment, between subjects in the study arm and subjects in the control arm

    Time frame: 10 weeks

  9. Pain/Discomfort During Intense Pulsed Light (IPL)

    The difference in the self-assessment of pain/discomfort during IPL administration, between subjects in the study arm and subjects in the control arm

    Time frame: 10 weeks

  10. Pain/Discomfort During Meibomian Gland Expression (MGX)

    The difference in the self-assessment of pain/discomfort during MGX, between subjects in the study arm and subjects in the control arm

    Time frame: 10 weeks

07

Results

Posted Dec 9, 2020

Participant flow

Participant flow — Overall Study
MilestoneSham+MGXIPL+MGX
Started4345
Completed4339
Not completed06
Withdrew: Lost to follow-up06

Outcome measures

PrimaryChange of Baseline Tear Breakup Time (TBUT)

Change of Tear breakup time (TBUT) in the study eye, from baseline to follow-up. TBUT is measured in seconds. Higher values mean better outcome.

Time frame:
10 weeks
Reported as:
Mean · seconds
Change of Baseline Tear Breakup Time (TBUT)
secondsSham+MGXIPL+MGX
Change of Baseline Tear Breakup Time (TBUT)0.75 ± 0.341.99 ± 0.36
SecondaryChange From Baseline Ocular Surface Disease Index (OSDI)

Change of self-assessed symptoms with the Ocular Surface Disease Index (OSDI) questionnaire, from baseline to follow-up. OSDI was collected per patient (one number per patient). The minimal number is 0 and the maximal number is 100. Higher scores mean worse outcome. A score of 0-12 is considered normal. A score of 13-22 is consistent with mild dry eye. A score of 23 to 32 is consistent with moderate dry eye. A score from 33 to 100 is consistent with severe dry eye.

Time frame:
10 weeks
Reported as:
Mean · score on a scale
Change From Baseline Ocular Surface Disease Index (OSDI)
score on a scaleSham+MGXIPL+MGX
Change From Baseline Ocular Surface Disease Index (OSDI)-25.9 ± 3.6-29.89 ± 3.78
SecondaryChange From Baseline Eye Dryness Score (EDS)

Change of self-assessed symptoms on a visual analog scale (VAS) , from baseline to follow-up, in both eyes. Values were collected separately for each eye. Correlation between eyes was removed by statistical methods. Scores were 0 (minimum) to 100 (maximum). Higher scores = worse outcome. VAS scores are not validated for dry eye. Hence, it is not known how to correlate VAS values to severity levels of dry eye. However, one can make estimations from the literature of VAS in other conditions. For example, in patients with chronic musculoskeletal pain, in a VAS scale of 0 to 10 scores below 3.4 corresponded to mild pain, scores between 3.5 and 7.4 corresponded to moderate pain, and scores above 7.5 corresponded to severe pain. Using such results from other conditions, it is \*estimated\* that values between 0 and 34 correspond to mild symptoms, scores between 35 and 74 correspond to moderate symptoms, and scores above 75 correspond to severe symptoms.

Time frame:
10 weeks
Reported as:
Mean · score on a scale
Change From Baseline Eye Dryness Score (EDS)
score on a scaleSham+MGXIPL+MGX
Change From Baseline Eye Dryness Score (EDS)-25.9 ± 3.6-32.96 ± 3.97
Other pre-specifiedQualitative Assessment of Eyelid Appearance

High resolution photos of the upper and lower eyelids in both eyes

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedMeiboscore

The difference in the percentage of area loss of meibomian glands, as evaluated using meibography, between eyes in the study arm and eyes in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedPercentage of Eyes With Normal Tear Break-Up Time (TBUT)

The difference in the proportion of eyes with normal TBUT (TBUT \> 10 sec) at follow-up, between study eyes in the study arm and study eyes in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedPercentage of Subjects With Normal Ocular Surface Disease Index (OSDI)

The difference in the proportion of subjects with normal OSDI (OSDI \< 23) at FU, between study eyes in the study arm and study eyes in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedIncidence of Ocular Adverse Events

The difference in the incidence of ocular adverse events, between subjects in the study arm and subjects in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedIncidence of Non-ocular Adverse Events

The difference in the incidence of non ocular adverse events, between subjects in the study arm and subjects in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedIncidence of Unanticipated Serious Adverse Events

The difference in the incidence of unanticipated serious adverse events, between subjects in the study arm and subjects in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedImmediate Biomicroscopy

difference in the change of bio-microscopy examinations pre- and post- treatment, between subjects in the study arm and subjects in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedPain/Discomfort During Intense Pulsed Light (IPL)

The difference in the self-assessment of pain/discomfort during IPL administration, between subjects in the study arm and subjects in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Other pre-specifiedPain/Discomfort During Meibomian Gland Expression (MGX)

The difference in the self-assessment of pain/discomfort during MGX, between subjects in the study arm and subjects in the control arm

Time frame:
10 weeks

Results for this outcome have not been posted.

Adverse events

Collected over 10 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sham+MGX0/43 (0%)0/43 (0%)9/43 (20.9%)
IPL+MGX0/45 (0%)0/45 (0%)4/45 (8.9%)
Most frequent other events
Showing 10 of 11
Most frequent other events
EventSham+MGXIPL+MGX
Sinus infectionGeneral disorders2/430/45
worsening of seasonal allergiesGeneral disorders2/430/45
BronchitisGeneral disorders1/430/45
HyperlipidemiaGeneral disorders1/43—
Conjunctival telangiectasiaEye disorders1/430/45
ChalazionSkin and subcutaneous tissue disorders1/430/45
StyeSkin and subcutaneous tissue disorders1/430/45
Allergic conjunctivitisEye disorders0/431/45
Bacterial conjunctivitisEye disorders0/431/45
BlepharitisSkin and subcutaneous tissue disorders0/431/45

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Sham+MGXIPL+MGXTotal
<=18 years000
Between 18 and 65 years293261
>=65 years141327
Age, Continuous
Age, Continuous(years)Sham+MGXIPL+MGXTotal
Mean56.8 ± 12.754.2 ± 14.355.5 ± 13.6
Sex: Female, Male
Sex: Female, Male(Participants)Sham+MGXIPL+MGXTotal
Female332053
Male102535
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Sham+MGXIPL+MGXTotal
Hispanic or Latino5611
Not Hispanic or Latino383977
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Sham+MGXIPL+MGXTotal
United States434588
08

Study locations

2 sites
  • Toyos Clinic
    Nashville, Tennessee 37215, United States
  • Dell Laser Consultants
    Austin, Texas 78746, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Aug 2019, 19 months.

Results were first posted in Dec 2020, 1 year 3 months after primary completion.

Of 113 industry-sponsored interventional studies with no phase under Dry Eye Syndromes, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 13. This study's 19 months is above that.

Counting every sponsor, half of 312 studies reached it within 10 months; a quarter within 4 and three quarters within 18.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 28, 2017
First posted
Jan 11, 2018
StartActual
Jan 10, 2018
Primary completionActual
Aug 15, 2019
CompletionActual
Aug 15, 2019
Results first posted
Dec 9, 2020
Last update
Dec 9, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 9, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03396913
Lead sponsor
Lumenis Be Ltd.
Responsible party
Sponsor
First posted
Jan 11, 2018
Start date
Jan 10, 2018
Primary completion
Aug 15, 2019
Completion
Aug 15, 2019
Results posted
Dec 9, 2020
Last update
Dec 9, 2020

Study contacts

Steven J Dell, MD
principal investigator · Dell Laser Consultants
Rolando Toyos, MD
principal investigator · Toyos Clinic
Neel Desai, MD
principal investigator · The Eye Institute of West Florida

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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