Aj. Bron et al., COMPARISON OF THE EFFICACY AND SAFETY OF 2 EYE GELS IN THE TREATMENT OF DRY EYES - LACRINORM AND VISCOTEARS, Eye, 12, 1998, pp. 839-847
Purpose To compare the efficacy and safety of two carbomer 940 eye gel
s in the treatment of dry eyes: Lacrinorm (also called GelTears), a re
cently introduced eye gel, and Viscotears (also called Vidisic or Lacr
igel), used as a reference gel. The main difference between the two ge
ls is in the preservative, respectively benzalkonium chloride and cetr
imide. Methods A double-masked, randomised, parallel-group study was c
onducted in 16 centres in four European countries. A total of 179 pati
ents suffering from aqueous-deficient dry eye were enrolled, of whom 9
2 were randomised to treatment with Lacrinorm and 87 to the reference
gel. Gel was instilled four times a day for a period of 30 days. Resul
ts After 30 days of treatment, subjective symptoms (the combined score
s of foreign body sensation, ocular dryness, burning or pain, and phot
ophobia) had improved by 50% in the Lacrinorm group and by 45% in the
reference gel group, and objective test results (break-up time, fluore
scein test, Schirmer test, Lissamine Green test) by 35-36% in the Lacr
inorm group and 25-45% in the reference group. The improvements were s
ignificant in both treatment groups (p < 0.001), with no significant d
ifferences between the treatment groups. Subjective local tolerability
upon instillation on day 30 was rated 'good' or 'very good' by 91% of
patients in both treatment groups. Adverse events were reported for 2
1 patients in the Lacrinorm group and 17 in the reference group, the m
ost frequent being discomfort, blurred vision, hyperaemia, burning and
itching. The frequency and descriptions of adverse events did not dif
fer significantly between the two treatment groups. No serious adverse
events were reported. Conclusions Over the period of study, Lacrinorm
eye gel was as effective and safe as Viscotears/Lacrigel in the treat
ment of dry eye.