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FOR PATIENTS WITH DRY EYES

                        TREHALOSE 3% | HYALURONIC ACID 0.15% | CARBOMER 0.25%   MEDICAL DEVICE



              Combination of trehalose, sodium hyaluronate and
              carbomer for maximum comfort and bioprotection


     •  LONGER RESIDENCE TIME

        The combination of trehalose 3% + hyaluronic acid 0.15% coupled with
        carbomer 0.25%, offers a  significantly longer increase in tear film
        thickness indicating for a longer residence time 14
                             TH-HA-Carbomer  Randomized, single masked, observer blinded parallel group
         TFT (% change from baseline) 35    60 patients with history of DED for at least 3 months, BUT≤10s or
                             PG-PRG
                             HA
          30
                           *
                                            design.
                     *
          25
                                            Schirmer I test between 2 mm and 5 mm and OSDI≥22.
          20
                                            3 arms, patients received a single dose of either: Unpreserved.
          15
                                            Trehalose 3% + HA 0.15% + Carbomer 0.25% (Thealoz ®  Duo Gel),
                                            Hyaluronic Acid 0.2%, Polyethylene glycol 0.4% + propylene
          10
                                            glycol 0.3%.
          5
          0
              30    60    120   240    360  Measurement of TFT.
                        Time (min)
                    *Significant vs baseline
     •  FEWER INSTILLATIONS
        Lower instillation frequency when using Thealoz Duo Gel compared to artificial
                                                  ®
        tears 15
                                                             Drops PRN + Gel
                                                     Gel PRN*  before going to bed
                                                                       p-value
          6                                       Baseline   Study day  Baseline  Study day
                       p=0.02         Break Up Time  3.5 ± 1.7  4.2 ± 1.7  3.4 ± 1.4  4.3 ± 1.9  <0.001
          5
                            *         Corneal Fluorescein  3.5 ± 2.3  2.7 ± 2.1  3.1 ± 1.7  2.2 ± 1.4  <0.001
                                      Staining
         Average drops / day  3 2  N=40 patients with moderate to severe dry eye disease. Randomized,
          4
                                      Conjunctival Lissamine
                                                                       <0.001
                                                        3.5 ± 2.6
                                                             4.4 ± 2.5
                                                                  2.8 ± 2.3
                                                   4.5 ± 2.8
                                      Green Staining
                                      *PRN = pro re nata = according to needs
                                  eye  drops  for  use  during  the  day  combined  with  Thealoz ® Duo  gel  before
          1                       observer-masked, cross-over study. Patients received either Thealoz ® Duo
                                  going to bed or Thealoz ® Duo Gel only to use as needed (PRN) for one week.
                                  Then, after another one week washout period, patients crossed over to the
          0                       other treatment group.
            Eye Drops PRN + Gel  Gel PRN
    14.  Thealoz  Duo gel OCT study : Schmidl D. et al. Effect of gel-based artificial tears on tear film thickness in patients with dry eye diseas. Investigate
          ®
      Ophthalmology & Visual Science September 2016, Vol .57, 2881.              7
    15.  Cross over study : Schmidl D. et al. Difference in the frequency of use of lachrymal substitutes in patients with moderate to severe dry eye disease . Poster
      on 8th International Conference on the Tear Film & Ocular Surface 2016.
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