TheraPearl Eye Mask and Blephasteam for the treatment of meibomian gland dysfunction: a randomized, comparative clinical trial

Abstract Meibomian gland dysfunction (MGD) is the most common cause of dry eye disease (DED). In this study, we aimed to compare the effects of eyelid warming treatment using either TheraPearl Eye Mask (Bausch & Lomb Inc., New York, USA) or Blephasteam (Spectrum Thea Pharmaceuticals LTD, Maccles...

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Main Authors: Jonatan Olafsson, Xiaoran Lai, Erlend Christoffer Sommer Landsend, Snorri Olafsson, Eric Parissi, Øygunn A. Utheim, Sten Raeder, Reza A. Badian, Neil Lagali, Darlene A. Dartt, Tor P. Utheim
Format: Article
Language:English
Published: Nature Portfolio 2021-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-01899-8
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author Jonatan Olafsson
Xiaoran Lai
Erlend Christoffer Sommer Landsend
Snorri Olafsson
Eric Parissi
Øygunn A. Utheim
Sten Raeder
Reza A. Badian
Neil Lagali
Darlene A. Dartt
Tor P. Utheim
author_facet Jonatan Olafsson
Xiaoran Lai
Erlend Christoffer Sommer Landsend
Snorri Olafsson
Eric Parissi
Øygunn A. Utheim
Sten Raeder
Reza A. Badian
Neil Lagali
Darlene A. Dartt
Tor P. Utheim
author_sort Jonatan Olafsson
collection DOAJ
description Abstract Meibomian gland dysfunction (MGD) is the most common cause of dry eye disease (DED). In this study, we aimed to compare the effects of eyelid warming treatment using either TheraPearl Eye Mask (Bausch & Lomb Inc., New York, USA) or Blephasteam (Spectrum Thea Pharmaceuticals LTD, Macclesfield, UK) in a Norwegian population with mild to moderate MGD-related DED. An open label, randomized comparative trial with seventy patients (49 females, 21 males; mean age 53.6 years). Patients were randomly assigned to treatment with Blephasteam (n = 37) or TheraPearl (n = 33). All received a hyaluronic acid based artificial tear substitute (Hylo-Comod, Ursapharm, Saarbrücken, Germany). Patients were examined at baseline, and at three and six months initiation of treatment. Treatment efficacy was primarily evaluated by fluorescein breakup time (FBUT) and Ocular Surface Disease Index (OSDI) scores. Other outcome measures included ocular surface staining (OSS), Schirmer’s test, and meibomian quality and expressibility. Baseline parameter values did not differ between the groups. After six months of treatment, Blephasteam improved FBUT by 3.9 s (p < 0.01) and OSDI by 13.7 (p < 0.01), TheraPearl improved FBUT by 2.6 s (p < 0.01) and OSDI by 12.6 (p < 0.01). No difference between treatments was detected at 6 months (p = 0.11 for FBUT and p = 0.71 for OSDI), nor were there differences in the other tested parameters between the treatment groups. Blephasteam and TheraPearl are equally effective in treating mild to moderate MGD in a Norwegian population after 6-months of treatment. Clinicaltrials.gov ID: NCT03318874; Protocol ID: 2014/1983; First registration: 24/10/2017.
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spelling doaj.art-899420784eb743f4964bd70d03d513ec2022-12-21T19:28:59ZengNature PortfolioScientific Reports2045-23222021-11-0111111010.1038/s41598-021-01899-8TheraPearl Eye Mask and Blephasteam for the treatment of meibomian gland dysfunction: a randomized, comparative clinical trialJonatan Olafsson0Xiaoran Lai1Erlend Christoffer Sommer Landsend2Snorri Olafsson3Eric Parissi4Øygunn A. Utheim5Sten Raeder6Reza A. Badian7Neil Lagali8Darlene A. Dartt9Tor P. Utheim10Institute of Clinical Medicine, Faculty of Medicine, University of OsloDepartment of Biostatistics, Institute of Basic Medical Sciences, University of OsloDepartment of Ophthalmology, Oslo University HospitalDepartment of Gastroenterology, Innlandet Hospital TrustLavista OptometryInstitute of Clinical Medicine, Faculty of Medicine, University of OsloInstitute of Clinical Medicine, Faculty of Medicine, University of OsloDepartment of Medical Biochemistry, Oslo University HospitalDivision of Ophthalmology, Department of Biomedical and Clinical Sciences, Linköping UniversityDepartment of Ophthalmology, Schepens Eye Research Institute/Massachusetts Eye and Ear, Harvard Medical SchoolDepartment of Medical Biochemistry, Oslo University HospitalAbstract Meibomian gland dysfunction (MGD) is the most common cause of dry eye disease (DED). In this study, we aimed to compare the effects of eyelid warming treatment using either TheraPearl Eye Mask (Bausch & Lomb Inc., New York, USA) or Blephasteam (Spectrum Thea Pharmaceuticals LTD, Macclesfield, UK) in a Norwegian population with mild to moderate MGD-related DED. An open label, randomized comparative trial with seventy patients (49 females, 21 males; mean age 53.6 years). Patients were randomly assigned to treatment with Blephasteam (n = 37) or TheraPearl (n = 33). All received a hyaluronic acid based artificial tear substitute (Hylo-Comod, Ursapharm, Saarbrücken, Germany). Patients were examined at baseline, and at three and six months initiation of treatment. Treatment efficacy was primarily evaluated by fluorescein breakup time (FBUT) and Ocular Surface Disease Index (OSDI) scores. Other outcome measures included ocular surface staining (OSS), Schirmer’s test, and meibomian quality and expressibility. Baseline parameter values did not differ between the groups. After six months of treatment, Blephasteam improved FBUT by 3.9 s (p < 0.01) and OSDI by 13.7 (p < 0.01), TheraPearl improved FBUT by 2.6 s (p < 0.01) and OSDI by 12.6 (p < 0.01). No difference between treatments was detected at 6 months (p = 0.11 for FBUT and p = 0.71 for OSDI), nor were there differences in the other tested parameters between the treatment groups. Blephasteam and TheraPearl are equally effective in treating mild to moderate MGD in a Norwegian population after 6-months of treatment. Clinicaltrials.gov ID: NCT03318874; Protocol ID: 2014/1983; First registration: 24/10/2017.https://doi.org/10.1038/s41598-021-01899-8
spellingShingle Jonatan Olafsson
Xiaoran Lai
Erlend Christoffer Sommer Landsend
Snorri Olafsson
Eric Parissi
Øygunn A. Utheim
Sten Raeder
Reza A. Badian
Neil Lagali
Darlene A. Dartt
Tor P. Utheim
TheraPearl Eye Mask and Blephasteam for the treatment of meibomian gland dysfunction: a randomized, comparative clinical trial
Scientific Reports
title TheraPearl Eye Mask and Blephasteam for the treatment of meibomian gland dysfunction: a randomized, comparative clinical trial
title_full TheraPearl Eye Mask and Blephasteam for the treatment of meibomian gland dysfunction: a randomized, comparative clinical trial
title_fullStr TheraPearl Eye Mask and Blephasteam for the treatment of meibomian gland dysfunction: a randomized, comparative clinical trial
title_full_unstemmed TheraPearl Eye Mask and Blephasteam for the treatment of meibomian gland dysfunction: a randomized, comparative clinical trial
title_short TheraPearl Eye Mask and Blephasteam for the treatment of meibomian gland dysfunction: a randomized, comparative clinical trial
title_sort therapearl eye mask and blephasteam for the treatment of meibomian gland dysfunction a randomized comparative clinical trial
url https://doi.org/10.1038/s41598-021-01899-8
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