Deciphering the Action of Perfluorohexyloctane Eye Drops to Reduce Ocular Discomfort and Pain

Perfluorohexyloctane (F6H8) eyedrops have been recently introduced in Europe as a product to treat dry eye disease, based on its ability to reduce tear film instability in Meibomian gland dysfunction and evaporative dry eye disease, although its mechanism of action is still unknown. In the present p...

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Main Authors: Miguel Delicado-Miralles, Enrique Velasco, Ariadna Díaz-Tahoces, Juana Gallar, M. Carmen Acosta, Adolfo Aracil-Marco
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.709712/full
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author Miguel Delicado-Miralles
Enrique Velasco
Enrique Velasco
Ariadna Díaz-Tahoces
Ariadna Díaz-Tahoces
Juana Gallar
Juana Gallar
Juana Gallar
M. Carmen Acosta
M. Carmen Acosta
Adolfo Aracil-Marco
author_facet Miguel Delicado-Miralles
Enrique Velasco
Enrique Velasco
Ariadna Díaz-Tahoces
Ariadna Díaz-Tahoces
Juana Gallar
Juana Gallar
Juana Gallar
M. Carmen Acosta
M. Carmen Acosta
Adolfo Aracil-Marco
author_sort Miguel Delicado-Miralles
collection DOAJ
description Perfluorohexyloctane (F6H8) eyedrops have been recently introduced in Europe as a product to treat dry eye disease, based on its ability to reduce tear film instability in Meibomian gland dysfunction and evaporative dry eye disease, although its mechanism of action is still unknown. In the present pilot study, we evaluated the effects of the ocular instillation of a single drop of commercial F6H8 eyedrops in 20 healthy humans (9 women/11 men), measuring: (a) Corneal surface temperature (CST) from infrared video images; (b) tear volume using phenol red threads; (c) blinking frequency; and (d) ocular surface sensations (cold, dryness, pricking, foreign body, burning, itching, gritty, eye fatigue, watering eyes, and light-evoked discomfort sensations; scored using 10 cm Visual Analog Scales), before and 5–60 min after F6H8 or saline treatment. CST decreased and tearing and blinking frequency increased significantly after F6H8 but not after saline solution. When applied unilaterally, CST decreased only in the F6H8-treated eye. No sensations were evoked after F6H8 or saline. The corneal surface temperature reduction produced by topical F6H8 does not evoke conscious ocular sensations but is sufficient to increase the activity of corneal cold thermoreceptors, leading to an increased reflex lacrimation and blinking that may relieve dry eye condition thus reducing ocular discomfort and pain.
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spelling doaj.art-6d0d6518ecfe48a290209ca89546ab252022-12-21T23:09:32ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-10-01810.3389/fmed.2021.709712709712Deciphering the Action of Perfluorohexyloctane Eye Drops to Reduce Ocular Discomfort and PainMiguel Delicado-Miralles0Enrique Velasco1Enrique Velasco2Ariadna Díaz-Tahoces3Ariadna Díaz-Tahoces4Juana Gallar5Juana Gallar6Juana Gallar7M. Carmen Acosta8M. Carmen Acosta9Adolfo Aracil-Marco10Cellular and Systems Neurobiology Unit, Instituto de Neurociencias, Universidad Miguel Hernández-Consejo Superior de Investigaciones Científicas, San Juan de Alicante, SpainCellular and Systems Neurobiology Unit, Instituto de Neurociencias, Universidad Miguel Hernández-Consejo Superior de Investigaciones Científicas, San Juan de Alicante, SpainThe European University of Brain and Technology-NeurotechEU, San Juan de Alicante, SpainCellular and Systems Neurobiology Unit, Instituto de Neurociencias, Universidad Miguel Hernández-Consejo Superior de Investigaciones Científicas, San Juan de Alicante, SpainInstituto de Investigación Sanitaria y Biomédica de Alicante, San Juan de Alicante, SpainCellular and Systems Neurobiology Unit, Instituto de Neurociencias, Universidad Miguel Hernández-Consejo Superior de Investigaciones Científicas, San Juan de Alicante, SpainThe European University of Brain and Technology-NeurotechEU, San Juan de Alicante, SpainInstituto de Investigación Sanitaria y Biomédica de Alicante, San Juan de Alicante, SpainCellular and Systems Neurobiology Unit, Instituto de Neurociencias, Universidad Miguel Hernández-Consejo Superior de Investigaciones Científicas, San Juan de Alicante, SpainThe European University of Brain and Technology-NeurotechEU, San Juan de Alicante, SpainCellular and Systems Neurobiology Unit, Instituto de Neurociencias, Universidad Miguel Hernández-Consejo Superior de Investigaciones Científicas, San Juan de Alicante, SpainPerfluorohexyloctane (F6H8) eyedrops have been recently introduced in Europe as a product to treat dry eye disease, based on its ability to reduce tear film instability in Meibomian gland dysfunction and evaporative dry eye disease, although its mechanism of action is still unknown. In the present pilot study, we evaluated the effects of the ocular instillation of a single drop of commercial F6H8 eyedrops in 20 healthy humans (9 women/11 men), measuring: (a) Corneal surface temperature (CST) from infrared video images; (b) tear volume using phenol red threads; (c) blinking frequency; and (d) ocular surface sensations (cold, dryness, pricking, foreign body, burning, itching, gritty, eye fatigue, watering eyes, and light-evoked discomfort sensations; scored using 10 cm Visual Analog Scales), before and 5–60 min after F6H8 or saline treatment. CST decreased and tearing and blinking frequency increased significantly after F6H8 but not after saline solution. When applied unilaterally, CST decreased only in the F6H8-treated eye. No sensations were evoked after F6H8 or saline. The corneal surface temperature reduction produced by topical F6H8 does not evoke conscious ocular sensations but is sufficient to increase the activity of corneal cold thermoreceptors, leading to an increased reflex lacrimation and blinking that may relieve dry eye condition thus reducing ocular discomfort and pain.https://www.frontiersin.org/articles/10.3389/fmed.2021.709712/fullocular discomfortocular paindry eyeperfluorohexyloctaneblinkingtearing
spellingShingle Miguel Delicado-Miralles
Enrique Velasco
Enrique Velasco
Ariadna Díaz-Tahoces
Ariadna Díaz-Tahoces
Juana Gallar
Juana Gallar
Juana Gallar
M. Carmen Acosta
M. Carmen Acosta
Adolfo Aracil-Marco
Deciphering the Action of Perfluorohexyloctane Eye Drops to Reduce Ocular Discomfort and Pain
Frontiers in Medicine
ocular discomfort
ocular pain
dry eye
perfluorohexyloctane
blinking
tearing
title Deciphering the Action of Perfluorohexyloctane Eye Drops to Reduce Ocular Discomfort and Pain
title_full Deciphering the Action of Perfluorohexyloctane Eye Drops to Reduce Ocular Discomfort and Pain
title_fullStr Deciphering the Action of Perfluorohexyloctane Eye Drops to Reduce Ocular Discomfort and Pain
title_full_unstemmed Deciphering the Action of Perfluorohexyloctane Eye Drops to Reduce Ocular Discomfort and Pain
title_short Deciphering the Action of Perfluorohexyloctane Eye Drops to Reduce Ocular Discomfort and Pain
title_sort deciphering the action of perfluorohexyloctane eye drops to reduce ocular discomfort and pain
topic ocular discomfort
ocular pain
dry eye
perfluorohexyloctane
blinking
tearing
url https://www.frontiersin.org/articles/10.3389/fmed.2021.709712/full
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