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Updated: Jul 3, 2026

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Effect of Artificial Tear Formulations on the Metabolic Activity of Human Corneal Epithelial Cells after Exposure to Desiccation
Published on: May 2, 2020
Effect of artificial tears on tear stress test
Santosh Khanal1, Peter A Simmons, Edward I Pearce
1Department of Vision Sciences, Glasgow Caledonian University, 70 Cowcaddens Road, Glasgow, United Kingdom. s.khanal@uws.edu.au
Summary
Environmental dry eye symptoms increase after ocular stress. Artificial tears used immediately before or after stress can help relieve these symptoms in normal subjects.
Area of Science:
- Ophthalmology
- Dry Eye Disease Research
- Ocular Surface Science
Background:
- Environmental factors can induce dry eye symptoms.
- A novel tear stress test (TST) was developed to simulate environmental dry eye.
- Understanding the efficacy of artificial tears in managing induced dry eye is crucial.
Purpose of the Study:
- To evaluate the effectiveness of two artificial tears with different viscosities.
- To determine their impact on relieving dry eye symptoms induced by a novel tear stress test (TST).
Main Methods:
- A cross-over, subject-masked study involving 12 healthy subjects.
- Four conditions tested: unprotected, relief (post-TST), immediate protection (pre-TST), and chronic protection (1-week prophylactic).
- Measurements included visual acuity, symptom scores, tear break-up time, and tear evaporation before and after TST.
Main Results:
- Unprotected TST significantly increased dry eye symptoms.
- Artificial tears provided relief when used immediately before or after TST.
- Chronic prophylactic use did not prevent symptom increase post-TST.
- No significant difference was found between high-viscosity and low-viscosity artificial tears.
Conclusions:
- Ocular stress exacerbates dry eye symptomatology.
- Prompt application of artificial tears (before or after stress) effectively manages resultant symptoms in healthy individuals.
- Viscosity of artificial tears did not influence their efficacy in this model.

