Evaluation of a preservative-free, cross-linked sodium hyaluronate-based solution, Lacri +®, in dogs with dry eye: a pilot trial

Abstract Background The purpose of this pilot trial was to evaluate the efficacy and benefits of a preservative-free cross-linked sodium hyaluronate solution (Lacri +®, MP Labo, France) in 19 privately-owned dogs with dry eye. The animals were administered 2 drops of the tested product in each affec...

Full description

Bibliographic Details
Main Authors: Carole Gard, Charles Cassagnes, Sarah Muller, Christelle Navarro, Bruno Jahier
Format: Article
Language:English
Published: BMC 2023-10-01
Series:Irish Veterinary Journal
Subjects:
Online Access:https://doi.org/10.1186/s13620-023-00259-4
_version_ 1827710830548877312
author Carole Gard
Charles Cassagnes
Sarah Muller
Christelle Navarro
Bruno Jahier
author_facet Carole Gard
Charles Cassagnes
Sarah Muller
Christelle Navarro
Bruno Jahier
author_sort Carole Gard
collection DOAJ
description Abstract Background The purpose of this pilot trial was to evaluate the efficacy and benefits of a preservative-free cross-linked sodium hyaluronate solution (Lacri +®, MP Labo, France) in 19 privately-owned dogs with dry eye. The animals were administered 2 drops of the tested product in each affected eye, twice a day (BID) for 30 days. Improvement in the global ocular clinical score (sum of the individual scores for conjunctivitis, ocular discharge, eye irritation, and corneal opacity/pigmentation/vascularization, each rated from 0 to 3) was defined as the primary outcome. Besides an improvement in each individual ocular score, tear film quality (Tear Break Up Time, TBUT), dogs’ and owners’ quality of life (QoL), as well as an increase in tear production (Schirmer Tear Test-1, STT1), were considered secondary outcomes. These criteria were assessed on D0, D0 + 15 days, and D0 + 30 days. Finally, a qualitative evaluation of clinical improvement was requested from the owners on D0 + 2, + 15 & + 30 days and from the investigators during the follow-up. Results The global clinical ocular score as well as the individual conjunctival and irritation scores improved significantly (p < 0.0001) during the pilot trial. The average reduction of the global score reached 30% on D0 + 15 days and 55% on D0 + 30 days compared to D0. Ocular discharge was significantly lower (p = 0.0002) on D0 + 30 days compared to baseline; however corneal opacity did not show any significant changes from D0 to the end of the follow-up period. The quantitative tear production was increased at D + 30 (p < 0.0001), with a significant improvement as soon as 2 weeks in, with around 30% and 60% of dogs presenting an STT1 value above 10 on D0 + 15 days and on D0 + 30 days, respectively. The QoL score was significantly improved compared to D0 at all time points (p < 0.0001). After 2 days of treatment, 39% of the owners rated the efficacy as “good”. The efficacy of the tested product was considered “Good” or “Very Good” by the investigators in 78% and 93% of the cases, on D0 + 15 days and D0 + 30 days, respectively. The tolerance of this preservative-free formulation was good, with only rare and transient minor local reactions, realated to administration rather than the product itself.
first_indexed 2024-03-10T17:45:20Z
format Article
id doaj.art-d0ef9f5544ff409cb2c663f51b0964ca
institution Directory Open Access Journal
issn 2046-0481
language English
last_indexed 2024-03-10T17:45:20Z
publishDate 2023-10-01
publisher BMC
record_format Article
series Irish Veterinary Journal
spelling doaj.art-d0ef9f5544ff409cb2c663f51b0964ca2023-11-20T09:34:35ZengBMCIrish Veterinary Journal2046-04812023-10-017611910.1186/s13620-023-00259-4Evaluation of a preservative-free, cross-linked sodium hyaluronate-based solution, Lacri +®, in dogs with dry eye: a pilot trialCarole Gard0Charles Cassagnes1Sarah Muller2Christelle Navarro3Bruno Jahier4MP LaboClinique VetRivieraMP LaboMP LaboMP LaboAbstract Background The purpose of this pilot trial was to evaluate the efficacy and benefits of a preservative-free cross-linked sodium hyaluronate solution (Lacri +®, MP Labo, France) in 19 privately-owned dogs with dry eye. The animals were administered 2 drops of the tested product in each affected eye, twice a day (BID) for 30 days. Improvement in the global ocular clinical score (sum of the individual scores for conjunctivitis, ocular discharge, eye irritation, and corneal opacity/pigmentation/vascularization, each rated from 0 to 3) was defined as the primary outcome. Besides an improvement in each individual ocular score, tear film quality (Tear Break Up Time, TBUT), dogs’ and owners’ quality of life (QoL), as well as an increase in tear production (Schirmer Tear Test-1, STT1), were considered secondary outcomes. These criteria were assessed on D0, D0 + 15 days, and D0 + 30 days. Finally, a qualitative evaluation of clinical improvement was requested from the owners on D0 + 2, + 15 & + 30 days and from the investigators during the follow-up. Results The global clinical ocular score as well as the individual conjunctival and irritation scores improved significantly (p < 0.0001) during the pilot trial. The average reduction of the global score reached 30% on D0 + 15 days and 55% on D0 + 30 days compared to D0. Ocular discharge was significantly lower (p = 0.0002) on D0 + 30 days compared to baseline; however corneal opacity did not show any significant changes from D0 to the end of the follow-up period. The quantitative tear production was increased at D + 30 (p < 0.0001), with a significant improvement as soon as 2 weeks in, with around 30% and 60% of dogs presenting an STT1 value above 10 on D0 + 15 days and on D0 + 30 days, respectively. The QoL score was significantly improved compared to D0 at all time points (p < 0.0001). After 2 days of treatment, 39% of the owners rated the efficacy as “good”. The efficacy of the tested product was considered “Good” or “Very Good” by the investigators in 78% and 93% of the cases, on D0 + 15 days and D0 + 30 days, respectively. The tolerance of this preservative-free formulation was good, with only rare and transient minor local reactions, realated to administration rather than the product itself.https://doi.org/10.1186/s13620-023-00259-4Dry eyeDogTear supplementLubricantLacrimimeticEyedrops
spellingShingle Carole Gard
Charles Cassagnes
Sarah Muller
Christelle Navarro
Bruno Jahier
Evaluation of a preservative-free, cross-linked sodium hyaluronate-based solution, Lacri +®, in dogs with dry eye: a pilot trial
Irish Veterinary Journal
Dry eye
Dog
Tear supplement
Lubricant
Lacrimimetic
Eyedrops
title Evaluation of a preservative-free, cross-linked sodium hyaluronate-based solution, Lacri +®, in dogs with dry eye: a pilot trial
title_full Evaluation of a preservative-free, cross-linked sodium hyaluronate-based solution, Lacri +®, in dogs with dry eye: a pilot trial
title_fullStr Evaluation of a preservative-free, cross-linked sodium hyaluronate-based solution, Lacri +®, in dogs with dry eye: a pilot trial
title_full_unstemmed Evaluation of a preservative-free, cross-linked sodium hyaluronate-based solution, Lacri +®, in dogs with dry eye: a pilot trial
title_short Evaluation of a preservative-free, cross-linked sodium hyaluronate-based solution, Lacri +®, in dogs with dry eye: a pilot trial
title_sort evaluation of a preservative free cross linked sodium hyaluronate based solution lacri r in dogs with dry eye a pilot trial
topic Dry eye
Dog
Tear supplement
Lubricant
Lacrimimetic
Eyedrops
url https://doi.org/10.1186/s13620-023-00259-4
work_keys_str_mv AT carolegard evaluationofapreservativefreecrosslinkedsodiumhyaluronatebasedsolutionlacriindogswithdryeyeapilottrial
AT charlescassagnes evaluationofapreservativefreecrosslinkedsodiumhyaluronatebasedsolutionlacriindogswithdryeyeapilottrial
AT sarahmuller evaluationofapreservativefreecrosslinkedsodiumhyaluronatebasedsolutionlacriindogswithdryeyeapilottrial
AT christellenavarro evaluationofapreservativefreecrosslinkedsodiumhyaluronatebasedsolutionlacriindogswithdryeyeapilottrial
AT brunojahier evaluationofapreservativefreecrosslinkedsodiumhyaluronatebasedsolutionlacriindogswithdryeyeapilottrial