If you are interested in pursuing full‑time PhD study in anterior eye research, with a focus on treatment strategies and an in‑depth exploration of the ocular surface and ocular lubricants, this programme may be an opportunity for you.
About one in three adults [1-3] and one in five children [4] meet the diagnostic criteria for dry eye disease (DED), hence it is commonly encountered in routine primary eye care. The UK dry eye disease (DED) market is currently valued at approximately £500 million, while the global market is projected to reach £6 billion by 2025 [5], providing valuable opportunity to work and grow in this sector. The first line of management for DED and any ocular surface disease is topic lubricants[6]. However there is little known about how long the lubricants stay in eye. Most of the preservative free ocular lubricants constitute of polyethylene glycol, propylene glycol, and polyvinyl alcohol, and viscosity-enhancing agents such as carboxymethylcellulose, hypromellose, and sodium hyaluronate. Other ingredients may include glycerin, dextran, mineral oil, and various buffers. The retention of these lubricants in eye is highly important for DED management & heavily dependent on the mix of ingredients. This study will assess the retention using Fluorescein admixed or molecularly tagged formulations using novel fluorophotometer at the Aston Eye clinical research set up.
Overall the project aims are:
• Review current understanding of retention of ocular lubricants with various constituents in ocular surface
• Help develop novel set up with fluorophotometer on a slit lamp or similar clinical tool for simple, user-friendly regular clinical investigation
• Lead studies towards PhD: cross over or randomised clinical trials assessing ocular surface and DED
REFERENCES
[1] García-Marqués JV, Talens-Estarelles C, García-Lázaro S, Wolffsohn JS, Cerviño A. Systemic, environmental and lifestyle risk factors for dry eye disease in a mediterranean caucasian population. Contact Lens and Anterior Eye 2022;45(5):101539. https://doi.org/https://doi.org/10.1016/j.clae.2021.101539.
[2] Vidal-Rohr M, Craig JP, Davies LN, Wolffsohn JS. The epidemiology of dry eye disease in the UK: The Aston dry eye study. Contact Lens Anterior Eye 2023;46(3):101837. https://doi.org/10.1016/j.clae.2023.101837.
[3] Cai Y, Wei J, Zhou J, Zou W. Prevalence and Incidence of Dry Eye Disease in Asia: A Systematic Review and Meta-Analysis. Ophthalmic Research 2022;65(6):647-58. https://doi.org/10.1159/000525696.
[4] Stapleton F, Velez FG, Lau C, Wolffsohn JS. Dry eye disease in the young: A narrative review. The ocular surface 2024;31:11-20. https://doi.org/10.1016/j.jtos.2023.12.001.
[5] Mastrota K. Global dry eye by the numbers. Optometry Times Journal 2024;16, https://www.optometrytimes.com/view/global-dry-eye-by-the-numbers.
[6] Casemore RK, Wolffsohn JS, Dutta D. Dry eye clinical practice patterns of UK optometrists. Contact Lens and Anterior Eye 2023;46(5), https://www.scopus.com/inward/record.uri?eid=2-s2.0-85166959795&doi=10.1016%2fj.clae.2023.101889&partnerID=40&md5=8643fe03e85686a1604be926d75ba2fe.