Clinical Efficacy of 2% Rebamipide in Patients With Video Display Terminal-Associated Dry Eye Disease: A Prospective, Randomized, Double-Blinded Study.

Bibliographic Details
Title: Clinical Efficacy of 2% Rebamipide in Patients With Video Display Terminal-Associated Dry Eye Disease: A Prospective, Randomized, Double-Blinded Study.
Authors: Lee YW; Department of Ophthalmology (Y.W.L.), Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Republic of Korea; and Saevit Eye Hospital (S.B.H.), Goyang, Korea., Han SB
Source: Eye & contact lens [Eye Contact Lens] 2024 Aug 01; Vol. 50 (8), pp. 342-347. Date of Electronic Publication: 2024 May 23.
Publication Type: Journal Article; Randomized Controlled Trial
Language: English
Journal Info: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101160941 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1542-233X (Electronic) Linking ISSN: 15422321 NLM ISO Abbreviation: Eye Contact Lens Subsets: MEDLINE
Imprint Name(s): Original Publication: Hagerstown, Md. : Lippincott Williams & Wilkins, c2003-
MeSH Terms: Dry Eye Syndromes*/drug therapy , Quinolones*/administration & dosage , Quinolones*/therapeutic use , Alanine*/analogs & derivatives , Alanine*/therapeutic use , Alanine*/administration & dosage , Tears*/metabolism , Tears*/physiology , Ophthalmic Solutions* , Computer Terminals*, Hyaluronic Acid/administration & dosage ; Hyaluronic Acid/analogs & derivatives ; Humans ; Double-Blind Method ; Prospective Studies ; Male ; Female ; Middle Aged ; Adult ; Aged ; Treatment Outcome
Abstract: Purpose: To compare the effects of 2% rebamipide clear solution and 0.1% sodium hyaluronate eye drops in patients with visual display terminal (VDT)-related dry eye disease (DED).
Design: Prospective, randomized, double-blinded Study.
Methods: This was a prospective, double-blind, and randomized controlled study. Patients with VDT-related DED were randomly allocated to a 2% rebamipide (REB) group or a 0.1% sodium hyaluronate (HYA) group (4 times/day for 4 weeks). The ocular surface disease index (OSDI), dry eye questionnaire-5 (DEQ-5), Placido disk-tear film analyzer, fluorescein-stained tear break-up time (FBUT), ocular surface staining score, and Schirmer 1 test were examined before and after the instillation of drug.
Results: A total of 56 eyes of 28 patients (28 eyes of 14 patients in each group) were included. There were no significant differences in the baseline data. The OSDI, DEQ-5, FBUT, and conjunctival erosion scores improved significantly in both groups after treatment. In the REB group, corneal staining and bulbar nasal redness scores also improved significantly after treatment ( P <0.001 and 0.036, respectively), whereas no significant differences were found in these parameters in the HYA group ( P =0.326 and 0.118, respectively). The REB group showed a significantly larger decrease in the corneal staining score than the HYA group ( P =0.016). No adverse reactions were observed.
Conclusions: A 2% rebamipide clear solution effectively improved the symptoms and signs in patients with VDT-related DED and was superior to 0.1% sodium hyaluronate ophthalmic solution in improving corneal epithelial damage, making it a safe and effective treatment option for VDT-related DED.
(Copyright © 2024 Contact Lens Association of Ophthalmologists.)
Competing Interests: The authors have no conflicts of interest to disclose.
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Grant Information: Kukje Pharma (Gyeonggi-do, Republic of Korea).
Substance Nomenclature: LR583V32ZR (rebamipide)
0 (Quinolones)
0 (Ophthalmic Solutions)
OF5P57N2ZX (Alanine)
9004-61-9 (Hyaluronic Acid)
Entry Date(s): Date Created: 20240523 Date Completed: 20240725 Latest Revision: 20250730
Update Code: 20260130
DOI: 10.1097/ICL.0000000000001101
PMID: 38780404
Database: MEDLINE
Description
ISSN:1542-233X
DOI:10.1097/ICL.0000000000001101