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Research Article| Volume 44, ISSUE 3, 101344, June 2021

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Efficacy of a novel water propelled, heating eye mask massager on tear film and ocular adnexa

      Abstract

      Purpose

      To determine the effectiveness of the Aurai water propelled, heating Eye Massager (AEM) in managing dry eye disease and its effects on the ocular adnexa.

      Methods

      This prospective, randomised cross-over study enrolled 15 participants (aged 25.8 ± 5.45 years, 5 male). Participants wore a smart watch 24 h a day to track their sleeping cycle and heart rate for 4 weeks, using the AEM twice a day for 2 of those weeks. A cycle of 6 min of a controlled heat and vibration pattern in the morning and another cycle in the evening were applied with the AEM. Primary outcomes of symptomatology (Ocular Surface Disease Index (OSDI) and Symptom Assessment iN Dry Eye (SANDE)), tear film and ocular surface homeostasis markers (osmolarity, non-invasive breakup time (NIKBUT), tear meniscus height (TMH), lipid layer thickness and ocular staining) and safety measures (ocular redness and intraocular pressure), were assessed at baseline, after 2 weeks of AEM use and after 2 weeks of no treatment (in random-sequence). Sleeping tracking (ST) and heart rate/blood oxygen detection over these periods was also assessed.

      Results

      There was a significant change in OSDI score from 34.3 ± 19.5 at baseline to 18.8 ± 17.5 after treatment (p = 0.001) and also for the SANDE (5.7 ± 2.4 vs 3.7 ± 2.1; p = 0.001). Heart rate was not affected by treatment (p = 0.956), nor sleep pattern (p = 0.529), but this varied by day (p = 0.001). Tear film and ocular surface homeostasis, the ocular adnexia and safety measures were not affected by treatment (p > 0.05).

      Conclusion

      The Aurai water propelled Eye Massager may reduce the severity of symptoms of dry eye, but there were no detectable effects on tear stability and ocular surface disease from two weeks use.

      Keywords

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      References

        • Nichols K.K.
        • et al.
        The international workshop on meibomian gland dysfunction: executive summary.
        Invest Ophthalmol Vis Sci. 2011; 52: 1922-1929
        • Craig J.P.
        • et al.
        TFOS DEWS II definition and classification report.
        Ocul Surf. 2017; 15: 276-283
        • Geerling G.
        • et al.
        The international workshop on meibomian gland dysfunction: report of the subcommittee on management and treatment of meibomian gland dysfunction.
        Invest Ophthalmol Vis Sci. 2011; 52: 2050-2064
        • Pult H.
        • Riede-Pult B.H.
        • Purslow C.
        A comparison of an eyelid-warming device to traditional compress therapy.
        Optom Vis Sci. 2012; 89: E1035-E1041
        • Yeo S.
        • et al.
        Longitudinal changes in tear evaporation rates after eyelid warming therapies in meibomian gland dysfunction.
        Invest Ophthalmol Vis Sci. 2016; 57: 1974-1981
        • McCulley J.P.
        • Shine W.E.
        The lipid layer of tears: dependent on meibomian gland function.
        Exp Eye Res. 2004; 78: 361-365
        • Mathers W.D.
        • Lane J.A.
        Meibomian gland lipids, evaporation, and tear film stability.
        Adv Exp Med Biol. 1998; 438: 349-360
        • Finis D.
        • et al.
        Evaluation of meibomian gland dysfunction and local distribution of meibomian gland atrophy by non-contact infrared meibography.
        Curr Eye Res. 2015; 40: 982-989
        • Goto E.
        • et al.
        Treatment of non-inflamed obstructive meibomian gland dysfunction by an infrared warm compression device.
        Br J Ophthalmol. 2002; 86: 1403-1407
        • Bilkhu P.S.
        • Naroo S.A.
        • Wolffsohn J.S.
        Randomised masked clinical trial of the MGDRx eyebag for the treatment of meibomian gland dysfunction-related evaporative dry eye.
        Br J Ophthalmol. 2014; 98: 1707-1711
        • Bilkhu P.S.
        • Naroo S.A.
        • Wolffsohn J.S.
        Effect of a commercially available warm compress on eyelid temperature and tear film in healthy eyes.
        Optom Vis Sci. 2014; 91: 163-170
        • Mori A.
        • et al.
        Disposable eyelid-warming device for the treatment of meibomian gland dysfunction.
        Jpn J Ophthalmol. 2003; 47: 578-586
        • Matsumoto Y.
        • et al.
        Efficacy of a new warm moist air device on tear functions of patients with simple meibomian gland dysfunction.
        Cornea. 2006; 25: 644-650
        • Wang M.T.M.
        • et al.
        Randomised trial of the clinical utility of an eyelid massage device for the management of meibomian gland dysfunction.
        Contact Lens Anterior Eye. 2019; 42: 620-624
        • Tichenor A.A.
        • et al.
        Effect of the Bruder moist heat eye compress on contact lens discomfort in contact lens wearers: an open-label randomized clinical trial.
        Contact Lens Anterior Eye. 2019; 42: 625-632
        • Gao Y.F.
        • et al.
        Comparison of anti-inflammatory effects of intense pulsed light with tobramycin/dexamethasone plus warm compress on dry eye associated meibomian gland dysfunction.
        Int J Ophthalmol. 2019; 12: 1708-1713
        • Murphy O.
        • O’Dwyer V.
        • Lloyd-Mckernan A.
        The efficacy of warm compresses in the treatment of meibomian gland dysfunction and Demodex folliculorum blepharitis.
        Curr Eye Res. 2020;
        • Badawi D.
        TearCare (R) system extension study: evaluation of the safety, effectiveness, and durability through 12 months of a second TearCare (R) treatment on subjects with dry eye disease.
        Clin Ophthalmol. 2019; 13: 189-198
        • Badawi D.
        A novel system, TearCare (R), for the treatment of the signs and symptoms of dry eye disease.
        Clin Ophthalmol. 2018; 12: 683-694
        • Arita R.
        • et al.
        Effects of a warm compress containing menthol on the tear film in healthy subjects and dry eye patients.
        Sci Rep. 2017; : 7
        • Zhao Y.
        • et al.
        Clinical trial of thermal pulsation (LipiFlow) in meibomian gland dysfunction with preteatment meibography.
        Eye & Contact Lens-Science and Clinical Practice. 2016; 42: 339-346
        • Blackie C.A.
        • et al.
        The sustained effect (12 months) of a single-dose vectored thermal pulsation procedure for meibomian gland dysfunction and evaporative dry eye.
        Clin Ophthalmol. 2016; 10: 1385-1395
        • Villani E.
        • et al.
        Evaluation of a novel eyelid-warming device in meibomian gland dysfunction unresponsive to traditional warm compress treatment: an in vivo confocal study.
        Int Ophthalmol. 2015; 35: 319-323
        • Lane S.S.
        • et al.
        A new system, the LipiFlow, for the treatment of meibomian gland dysfunction.
        Cornea. 2012; 31: 396-404
        • Bron A.J.
        • Tiffany J.M.
        The contribution of meibomian disease to dry eye.
        Ocul Surf. 2004; 2: 149-165
        • Osgood J.K.
        • Dougherty J.M.
        • McCulley J.P.
        The role of wax and sterol esters of meibomian secretions in chronic blepharitis.
        Invest Ophthalmol Vis Sci. 1989; 30: 1958-1961
        • Wang M.T.
        • Gokul A.
        • Craig J.P.
        Temperature profiles of patient-applied eyelid warming therapies.
        Cont Lens Anterior Eye. 2015; 38: 430-434
        • Blackie C.A.
        • et al.
        Inner eyelid surface temperature as a function of warm compress methodology.
        Optom Vis Sci. 2008; 85: 675-683
        • Westman K.F.
        • Blaisdell C.
        Many benefits, little risk: the use of massage in nursing practice.
        Am J Nurs. 2016; 116 (quiz 40-1): 34-39
        • Wolffsohn J.S.
        • et al.
        TFOS DEWS II diagnostic methodology report.
        Ocul Surf. 2017; 15: 539-574
        • Armstrong R.A.
        • Eperjesi F.
        • Gilmartin B.
        The application of analysis of variance (ANOVA) to different experimental designs in optometry.
        Ophthalmic Physiol Opt. 2002; 22: 248-256
        • Zhao Y.
        • Tan C.L.
        • Tong L.
        Intra-observer and inter-observer repeatability of ocular surface interferometer in measuring lipid layer thickness.
        BMC Ophthalmol. 2015; 15: 53
        • Amparo F.
        • Schaumberg D.A.
        • Dana R.
        Comparison of two questionnaires for dry eye symptom assessment: the ocular surface disease index and the symptom assessment in dry eye.
        Ophthalmology. 2015; 122: 1498-1503
        • Gokhale M.
        • Stahl U.
        • Jalbert I.
        In situ osmometry: validation and effect of sample collection technique.
        Optom Vis Sci. 2013; 90: 359-365
        • Whitcher J.P.
        • et al.
        A simplified quantitative method for assessing keratoconjunctivitis sicca from the Sjogren’s Syndrome International Registry.
        Am J Ophthalmol. 2010; 149: 405-415
        • Teson M.
        • et al.
        Influence of climate on clinical diagnostic dry eye tests: pilot study.
        Optom Vis Sci. 2015; 92: e284-9
        • Turnbull P.R.K.
        • Misra S.L.
        • Craig J.P.
        Comparison of treatment effect across varying severities of meibomian gland dropout.
        Contact Lens Anterior Eye. 2018; 41: 88-92
        • Begley C.G.
        • et al.
        The relationship between habitual patient-reported symptoms and clinical signs among patients with dry eye of varying severity.
        Invest Ophthalmol Vis Sci. 2003; 44: 4753-4761
        • Liu W.C.
        • et al.
        Effects of eye rubbing and breath holding on corneal biomechanical properties and intraocular pressure.
        Cornea. 2011; 30: 855-860
        • Murphy O.
        • O’Dwyer V.
        • Lloyd-Mckernan A.
        The efficacy of warm compresses in the treatment of meibomian gland dysfunction and Demodex folliculorum blepharitis.
        Curr Eye Res. 2020; 45: 563-575