RationaleA non-irritative methylcellulose solution with muco-adhesive properties (MucoAd™) prolongs the effect of the decongestant, xylomethazoline, on nasal mucosa and has no irritative effects on rabbit conjunctiva. This double-blind study provides information on how the polymer solution behaves on the ocular surface. Delayed tear clearance would be beneficial in dry eye syndrome (DES) and would improve drug delivery to the conjunctival sack as in allergic conjunctivitis.MethodsTear clearance was assessed in 10 healthy volunteers by disappearance of fluorescein film from the eye. Following informed consent, medical history, general physical and eye examinations, standard fluorescein solution (control) and polymer solution-bound fluorescein (test) were dropped in each eye in random sequence. Fluorescence was observed by ocular biomicroscopy, and the time between solution administration and disappearance of fluorescence from the corneal surface was recorded. Upon conclusion of the measurement in each eye, the subject rated unpleasant sensations on a Visual Analogue Scale (VAS) from 0 (worst) to 100 mm (none). Wilcoxon Signed Ranks test was used for the analysis.ResultsCompared to the control solution, the muco-adhesive solution demonstrated longer clearance time (in minutes): 8,13 [median] (6,89 - 13,52) [25th - 75th interquartile range] vs. 5,93 (4,62 - 10,37), exact significance p = 0.002, and improved tolerability: VAS scores for the muco-adhesive solution was 100 (93 - 100) vs. 94 (55-100) for the control solution, exact significance p = 0.031.ConclusionA non-irritative methylcellulose solution with increased muco-adhesiveness delayed tear clearance assessed by fluorescein compared to standard, diagnostic fluorescein solution. The muco-adhesive solution was better tolerated. RationaleA non-irritative methylcellulose solution with muco-adhesive properties (MucoAd™) prolongs the effect of the decongestant, xylomethazoline, on nasal mucosa and has no irritative effects on rabbit conjunctiva. This double-blind study provides information on how the polymer solution behaves on the ocular surface. Delayed tear clearance would be beneficial in dry eye syndrome (DES) and would improve drug delivery to the conjunctival sack as in allergic conjunctivitis. A non-irritative methylcellulose solution with muco-adhesive properties (MucoAd™) prolongs the effect of the decongestant, xylomethazoline, on nasal mucosa and has no irritative effects on rabbit conjunctiva. This double-blind study provides information on how the polymer solution behaves on the ocular surface. Delayed tear clearance would be beneficial in dry eye syndrome (DES) and would improve drug delivery to the conjunctival sack as in allergic conjunctivitis. MethodsTear clearance was assessed in 10 healthy volunteers by disappearance of fluorescein film from the eye. Following informed consent, medical history, general physical and eye examinations, standard fluorescein solution (control) and polymer solution-bound fluorescein (test) were dropped in each eye in random sequence. Fluorescence was observed by ocular biomicroscopy, and the time between solution administration and disappearance of fluorescence from the corneal surface was recorded. Upon conclusion of the measurement in each eye, the subject rated unpleasant sensations on a Visual Analogue Scale (VAS) from 0 (worst) to 100 mm (none). Wilcoxon Signed Ranks test was used for the analysis. Tear clearance was assessed in 10 healthy volunteers by disappearance of fluorescein film from the eye. Following informed consent, medical history, general physical and eye examinations, standard fluorescein solution (control) and polymer solution-bound fluorescein (test) were dropped in each eye in random sequence. Fluorescence was observed by ocular biomicroscopy, and the time between solution administration and disappearance of fluorescence from the corneal surface was recorded. Upon conclusion of the measurement in each eye, the subject rated unpleasant sensations on a Visual Analogue Scale (VAS) from 0 (worst) to 100 mm (none). Wilcoxon Signed Ranks test was used for the analysis. ResultsCompared to the control solution, the muco-adhesive solution demonstrated longer clearance time (in minutes): 8,13 [median] (6,89 - 13,52) [25th - 75th interquartile range] vs. 5,93 (4,62 - 10,37), exact significance p = 0.002, and improved tolerability: VAS scores for the muco-adhesive solution was 100 (93 - 100) vs. 94 (55-100) for the control solution, exact significance p = 0.031. Compared to the control solution, the muco-adhesive solution demonstrated longer clearance time (in minutes): 8,13 [median] (6,89 - 13,52) [25th - 75th interquartile range] vs. 5,93 (4,62 - 10,37), exact significance p = 0.002, and improved tolerability: VAS scores for the muco-adhesive solution was 100 (93 - 100) vs. 94 (55-100) for the control solution, exact significance p = 0.031. ConclusionA non-irritative methylcellulose solution with increased muco-adhesiveness delayed tear clearance assessed by fluorescein compared to standard, diagnostic fluorescein solution. The muco-adhesive solution was better tolerated. A non-irritative methylcellulose solution with increased muco-adhesiveness delayed tear clearance assessed by fluorescein compared to standard, diagnostic fluorescein solution. The muco-adhesive solution was better tolerated.