ATD, Dry Eye Syndromes, Sjogren's Syndrome
Conditions
Brief summary
The objective of this study is to evaluate the safety and effectiveness of Viveye OMNS non-invasive treatment for management of the signs and symptoms of severe dry eye disease.
Interventions
The Viveye OMNS treatment ( \ 30 min) will be applied once, during the treatment visit only
The Viveye OMNS sham treatment ( \ 30 min) will be applied once, during the treatment visit only
Sponsors
Study design
Eligibility
Inclusion criteria
1. Males and females, 18-80 years old 2. Subjects with severe aqueous deficient dry eye disease (concomitant meibomian gland disease is permitted): 1. SPEED questionnaire score ≥ 10 AND 2. Fluorescein Corneal Staining Score (FCSS) ≥ 5 NEI score in at least in one eye AND 3. Schirmer score ≤ 10 mm in at least one eye (at screening or treatment day pre-treatment) 3. No contact lens wear for at least seven days prior to the Screening Visit and willingness to forego contact lens wear for the duration of the study; 4. Literacy, able to speak English or Hebrew, and able to complete questionnaires independently; 5. Willing and able to sign the informed consent form and deemed capable of complying with the requirements of the study protocol (tests and follow-up visits).
Exclusion criteria
1. Significant anterior blepharitis including signs of Demodex eyelid infection; 2. If the subject is using prescription dry eye ophthalmic drug such as Restasis (Cyclosporine A 0.05% ophthalmic emulsion), Xiidra (Lifitegrast), Cequa (Cyclosporine 0.09% ophthalmic solution), and the medication has not been used regularly for the past 3 months prior to screening visit; 3. Change in eye lubricant type usage in the last 1 month prior enrollment. Use of any device to manage DED within 1 month of Screening Visit; 4. Punctal plugs are present at screening that were inserted in the last 30 days prior enrollment, or intracanalicular plug that were inserted in the last 6 months in any eyelid; 5. Corneal transplant in either or both eyes;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Best corrected visual acuity (BCVA) | 12 weeks | Frequency of treatment related deterioration in BCVA |
| Intraocular Pressure (IOP) | 12 weeks | IOP results will be summarized descriptively. 95% confidence intervals for the difference between treatment arms at each visit will be presented, assuming t-distribution. |
| Slit lamp biomicroscopy | 12 weeks | The percent related to worsening in ocular pathological changes observed |
| Rate of device/treatment related adverse events | 12 weeks | Rate of device/treatment related Incidence of Adverse events (AE) will be presented in tabular form by seriousness, severity and relation to treatment |
| Fluorescein corneal staining | 12 weeks | Change from baseline in fluorescein corneal staining score (NEI Scale 0-15) per treatment arm and visit (lower scores mean a better outcome.) |
| Ocular discomfort questionnaires | 12 weeks | Change from baseline in ocular discomfort questionnaires (Standard Patient Evaluation of Eye Dryness - SPEED) per treatment arm and visit. score from 0 to 28, higher scores mean a worse outcome. (Reduction in SUM score = improvement) |
Countries
Israel