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Journal of Education, Health and Sport

Exploring the Efficacy of Omega-3 Fatty Acid Supplementation in Dry Eye Disease: A Comprehensive Review
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  • Exploring the Efficacy of Omega-3 Fatty Acid Supplementation in Dry Eye Disease: A Comprehensive Review
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Exploring the Efficacy of Omega-3 Fatty Acid Supplementation in Dry Eye Disease: A Comprehensive Review

Authors

  • Anna Martyka Independent Public Health Care Facility, Municipal Hospitals Complex in Chorzów, 11 Strzelców Bytomskich Street, 41-500 Chorzów. https://orcid.org/0009-0007-6517-5919
  • Martyna Kubicka-Figiel Wojewódzki Szpital Specjalistyczny im św. Barbary nr 5 w Sosnowcu https://orcid.org/0009-0008-0008-401X
  • Nina Taborska University Clinical Hospital of the Military Medical Academy – Central Veterans' Hospital, 113 Stefana Żeromskiego Street, 90-549 Łódź. https://orcid.org/0009-0003-4505-4053

DOI:

https://doi.org/10.12775/JEHS.2024.53.012

Keywords

dry eye disease, omega-3, fatty acid

Abstract

Introduction

Dry eye syndrome, as defined by TFOS, is a multifactorial ocular surface disease with tear film instability, hyperosmolarity, inflammation, and neuro-sensory abnormalities. With a prevalence between 6.5% and 52.4%, it poses a substantial public health challenge, significantly affecting patients' quality of life. Omega-3 fatty acid supplementation is often suggested by clinicians as an adjunctive treatment, offering potential benefits across various levels.

 

Aim of the study

The purpose of the study was to investigate the effect of oral supplementation of omega-3 fatty acids on the treatment of dry eye syndrome.

Materials and methods

Literature selections of PubMed and Google Scholar databases from the last seven years (2016-2023) were performed. Articles were searched in English using the following keywords: dry eye disease; omega-3; fatty acid.

Results

Omega-3 fatty acids may have benefits in the treatment of dry eye syndrome, as argued by a number of potential mechanisms of action. However, the literature does not agree on the efficacy of their use in the treatment of dry eye syndrome, and thus there is insufficient evidence to bring omega-3 acids into the standard of treatment for dry eye syndrome.

Conclusion

Studies on the effect of oral supplementation of omega-3 fatty acids on the treatment of dry eye syndrome are at an early stage and need to be continued to improve knowledge. There is a need for further long-term studies to standardize conclusions about the efficacy of these acids in reducing dry eye symptoms.

References

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Asbell PA, Maguire MG, Pistilli M, et al. n-3 Fatty Acid Supplementation for the Treatment of Dry Eye Disease. N Engl J Med. 2018 May 3;378(18):1681-1690. https://doi.org/10.1056/NEJMoa1709691. Epub 2018 Apr 13. PMID:29652551.

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Oydanich M, Maguire MG, Pistilli M, et al. Effects of Omega-3 Supplementation on Exploratory Outcomes in the DREAM Study. Ophthalmology. 2020 Jan;127(1):136-138. https://doi.org/10.1016/j.ophtha.2019.07.009. Epub 2019 Jul 25. PMID:31445751.

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Hussain M, Shtein RM, Pistilli M, et al. The Dry Eye Assessment and Management (DREAM) Extension Study- A Randomized Clinical Trial of Withdrawal of Supplementation with Omega-3 Fatty Acid in Patients with Dry Eye Disease. Ocul Surf. 2020 Jan;18(1):47-55. https://doi.org/10.1016/j.jtos.2019.08.002. Epub 2019 Aug 16. PMID:31425752.

Roy NS, Yu Y, Ying G-S, et al. Effect of omega-3 on HLA-DR expression by conjunctival cells and tear cytokine concentrations in the Dry Eye Assessment and Management (DREAM) Study. Eye Contact Lens. 2022 Sep 1;48(9):384-390. https://doi.org/10.1097/ICL.0000000000000916. Epub 2022 Jun 30. PMID:35916880

Yu K, Asbell PA, Shtein RM, et al. Dry Eye Subtypes in the Dry Eye Assessment and Management (DREAM) Study: A Latent Profile Analysis. Transl Vis Sci Technol. 2022 Nov 1;11(11):13. https://doi.org/10.1167/tvst.11.11.13. PMID:36383391.

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Chi S-Ch, Tuan H-I, Kang YN. Effects of Polyunsaturated Fatty Acids on Nonspecific Typical Dry Eye Disease: A systematic Review and Meta-Analysis of Randomized Clinical Trials. Nutrients. 2019 Apr 26;11(5):942. https://doi.org/10.3390/nu11050942. PMID:31027357.

Deinema LA, Vingrys AJ, Wong ChY, et al. A Randomized, Double-Masked, Placebo-Controlled Clinical Trial of Two Forms of Omega-3 Supplements for Treating Dry Eye Disease. Ophthalmology. 2017 Jan;124(1):43-52. https://doi.org/10.1016/j.ophtha.2016.09.023. Epub 2016 Nov 3. PMID:27817918.

Epitropoulos AT, ED Donnenfeld, Shah ZA, et al. Effect of Oral Re-esterified Omega-3 Nutritional Supplementation on Dry Eyes. Cornea. 2016 Sep;35(9):1185-91. https://doi.org/10.1097/ICO.0000000000000940. PMID:27442314.

Ng D, Altamirano-Vallejo JC, Gonzalez-De la Rosa A, et al. An Oral Polyphenol Formulation to Modulate the Ocular Surface Inflammatory Process and to Improve the Symptomatology Associated with Dry Eye Disease. Nutrients. 2022 Aug 7;14(15):3236. https://doi.org/10.3390/nu14153236. PMID:35956412.

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Published

2024-01-18

How to Cite

1.
MARTYKA, Anna, KUBICKA-FIGIEL, Martyna and TABORSKA, Nina. Exploring the Efficacy of Omega-3 Fatty Acid Supplementation in Dry Eye Disease: A Comprehensive Review. Journal of Education, Health and Sport. Online. 18 January 2024. Vol. 53, pp. 163-173. [Accessed 6 July 2025]. DOI 10.12775/JEHS.2024.53.012.
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Copyright (c) 2024 Anna Martyka, Martyna Kubicka-Figiel, Nina Taborska

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