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MyopiaRReyeNCT07844408

Study of Eye Fatigue From Digital Screens and Its Impact on Visual Performance in People With Normal Vision and Myopia, With and Without Dry Eye Symptoms and Signs

A study testing Eye Exams, Ocular Biometry and Aberrometry and Wearing a Smartwatch in people with Myopia and Dry Eye Disease (DED), run by Essilor International at 1 site in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this observational study is to investigate the effects of eye fatigue induced by screen task on dry eye disease (DED) signs and symptoms, visual performance, and visual behavior in young adults with and without DED and with normal vision and myopia. Read more about this study

Who is it for?
Ages 18 to 35 yearsHealthy volunteers can take part
Conditions the study is for
Myopia, Dry Eye Disease (DED)
What is being tested?
Eye Exams, Ocular Biometry and Aberrometry and Wearing a Smartwatch
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteFrance
Study dates
Oct 2026to Nov 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 35 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • A willing participant who speaks French fluently, is willing to follow the protocol, is able to read and understand the informed consent form, and can give their free and informed consent;
  • Age between 18 and 35 years
  • Daily screen use of more than 4 hours
  • Monocular and binocular distance and near visual acuity of 0.1 logMAR or better (equivalent to 20/25 Snellen or 8/10) with best optical correction
  • Emmetropic groups:
  • Spherical equivalent (SE): -0.50 D < SE ≤ +0.50 D
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  • Regular astigmatism (cylinder) 0.75 D (absolute value)
  • Anisometropia 1.00 D
  • Myopic groups:
  • Spherical equivalent (SE): -5.00 D ≤ SE ≤ -0.50 D
  • Regular astigmatism (cylinder) 0.75 D (absolute value)
  • Anisometropia 1.50 D
  • Groups with signs and symptoms of DED:
  • OSDI-6 questionnaire score ≥ 4
  • NIBUT <10 seconds
  • Groups without signs and symptoms of DED:
  • OSDI-6 questionnaire score < 4
  • NIBUT ≥ 10 seconds.

Who cannot join

  • Age < 18 years
  • Pregnant or breastfeeding women
  • Individuals deprived of liberty by a judicial or administrative decision, and individuals hospitalized without consent under Articles L3212-1 and L3213-1 who do not fall under Article L1121-8, as well as individuals admitted to a healthcare or social institution for purposes other than research
  • Adults lacking legal capacity or unable to provide informed consent ;
  • Participants currently in the exclusion period of another research study;
  • All categories of individuals receiving special protection under French law are excluded from this research
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  • Employees of Essilor International, Luxottica, GrandVision, or any of their subsidiaries.
  • Declared, untreated, and/or uncontrolled systemic disease that may affect vision (e.g., uncontrolled diabetes, uncontrolled hypertension);
  • Declared ocular disease, other than dry eye disease, with a significant impact on vision, such as visual field loss (e.g., glaucoma), reduced visual acuity, significant visual impairment in dim or bright environments (e.g., retinitis pigmentosa), corneal surface abnormalities including ectatic disorders (keratoconus, pellucid marginal degeneration), or corneal dystrophies (e.g., Fuchs dystrophy);
  • Declared autoimmune connective tissue disease or other condition known to cause dry eye disease (e.g., rheumatoid arthritis, rosacea, Crohn's disease, systemic lupus erythematosus, Graves' disease, Stevens-Johnson syndrome);
  • Active ocular or systemic allergy, or active ocular inflammatory condition such as keratitis, uveitis, blepharitis, etc.;
  • Declared neurological disorders, including a history of epilepsy, sensorimotor coordination disorders, ocular migraine, vestibular disease, or cerebellar disorders (e.g., balance disorders, nystagmus);
  • Binocular vision disorders such as strabismus, suppression, diplopia, amblyopia, or decompensated phorias associated with recurrent headaches, blurred or double vision, difficulty concentrating, or difficulties when frequently shifting focus between near and distance vision;
  • History of ocular surgery, refractive surgery, or ocular trauma;
  • Use of extended-wear contact lenses, rigid contact lenses, and/or orthokeratology lenses;
  • Prolonged wear of soft contact lenses (>12 hours per day);
  • Use of medications that may influence vision or interfere with study assessments (e.g., antidepressants, tranquilizers, antipsychotics, oral retinoids, or medications with atropinic effects);
  • Ophthalmic treatments, light therapy, or other treatments for dry eye disease within the past 3 months, with the exception of over-the-counter eye drops not requiring a prescription, such as hyaluronic acid-based lubricants.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Delphine Tranvouez-Bernardin contact

+33 1 55 96 47 04

tranvoud@essilor.fr

France1 site
  • Center of Neurosciences and Medical Research Essilor International

    Paris, Paris, 75012

    Delphine Tranvouez-Bernardin, +33 1 55 96 47 04, tranvoud@essilor.fr

Other trials in France

About this study

Official title: Étude du Comportement Visuel et de la Qualité Visuelle Induits Par la Fatigue Oculaire Numérique Chez Les Personnes Emmétropes et Myopes Présentant ou Non Des Signes et Symptômes de Sécheresse Oculaire

The goal of this observational study is to investigate the effects of eye fatigue induced by screen task on dry eye disease (DED) signs and symptoms, visual performance, and visual behavior in young adults with and without DED and with normal vision and myopia. The main questions it aims to answer are:

  • Does a screen task that induces eye fatigue affect dry eye signs and symptoms, visual quality, and visual behavior?
  • Are the effects of this screen task different in individuals with and without DED, and are they associated with myopia?
Read more

Researchers will compare participants with and without DED to determine whether they respond differently to a screen task designed to induce eye fatigue. They will also explore potential relationships between DED and myopia.

Participants will:

  • Attend two study visits.
  • Complete eligibility screening and realize visual and eye assessments.
  • Be classified as having or not having DED based on a questionnaire and clinical eye examinations.
  • Perform a screen task designed to induce eye fatigue.
  • Perform measurements before and after a screen task, including assessments of DED signs and symptoms, blinking behavior, eye movements, visual performance, and physiological responses with a smartwatch.
Being tested
Eye Exams, Ocular Biometry and Aberrometry, Wearing a Smartwatch, Wearing Visual Correction, Eye-Blinking Tests
Keywords
Dry eye disease, Myopia, Contrast sensitivity, Screen use, Blink
Medical subject headings
Myopia, Dry Eye Syndromes

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Eye ExamsDevice

    Participants undergo several visual examinations (visual function, visual refraction, visual acuity).

  • Ocular Biometry and AberrometryDevice

    Participants complete ocular aberrometric and biometric measurements.

  • Wearing a SmartwatchDevice

    Participants wear an smartwatch to measure their physiological activity.

  • Wearing Visual CorrectionDevice

    Participants are equipped with appropriate vision correction through spectacle lenses.

  • Eye-Blinking TestsDevice

    Before and after a digital eye strain task, participants perform eye-blinking tests on a screen.

  • Retinal ExaminationDevice

    Before and after a digital eye strain task, participants undergo a retinal examination.

  • Assessment of Signs and Symptoms of Dry EyeDevice

    Before and after a digital eye strain task, participants' signs and symptoms of dry eye are assessed.

  • Assessment of Digital Eye Strain SymptomsDevice

    Before and after a digital eye strain task, participants assess their symptoms of digital eye strain.

  • Contrast Sensitivity AssessmentDevice

    Before and after a digital eye strain task, participants perform contrast sensitivity tests.

  • Digital Eye Strain TaskDevice

    Participants perform a 30-minute task designed to induce digital eye strain. During this task, eye movements, including blinking behavior, saccade and fixation behavior, are recorded by an eye tracker.

Study groups in NCT07844408
Study groupRoleWhat they receive
Myopes with presence of signs and symptoms of dry eye diseaseExperimentalNot described
Receives: Device: Eye Exams; Device: Ocular Biometry and Aberrometry; Device: Wearing a Smartwatch; Device: Wearing Visual Correction; Device: Eye-Blinking Tests; Device: Retinal Examination; Device: Assessment of Signs and Symptoms of Dry Eye; Device: Assessment of Digital Eye Strain Symptoms; Device: Contrast Sensitivity Assessment; Device: Digital Eye Strain Task
Myopes without presence of signs and symptoms of dry eye diseaseExperimentalNot described
Receives: Device: Eye Exams; Device: Ocular Biometry and Aberrometry; Device: Wearing a Smartwatch; Device: Wearing Visual Correction; Device: Eye-Blinking Tests; Device: Retinal Examination; Device: Assessment of Signs and Symptoms of Dry Eye; Device: Assessment of Digital Eye Strain Symptoms; Device: Contrast Sensitivity Assessment; Device: Digital Eye Strain Task
Emmetropes with presence of signs and symptoms of dry eye diseaseExperimentalNot described
Receives: Device: Eye Exams; Device: Ocular Biometry and Aberrometry; Device: Wearing a Smartwatch; Device: Eye-Blinking Tests; Device: Retinal Examination; Device: Assessment of Signs and Symptoms of Dry Eye; Device: Assessment of Digital Eye Strain Symptoms; Device: Contrast Sensitivity Assessment; Device: Digital Eye Strain Task
Emmetropes without presence of signs and symptoms of dry eye diseaseExperimentalNot described
Receives: Device: Eye Exams; Device: Ocular Biometry and Aberrometry; Device: Wearing a Smartwatch; Device: Eye-Blinking Tests; Device: Retinal Examination; Device: Assessment of Signs and Symptoms of Dry Eye; Device: Assessment of Digital Eye Strain Symptoms; Device: Contrast Sensitivity Assessment; Device: Digital Eye Strain Task

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Contrast Sensitivity at Different Spatial Frequencies (logMAR)

    Contrast sensitivity test: Participants are asked to identify patterns (such as stripes or letters) that become increasingly difficult to see

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  2. Non-Invasive Tear Breakup Time (NIBUT) (seconds)

    Measurement of tear film stability by assessing the time it takes for the tear film to begin breaking up after a blink. Shorter times indicate a less stable tear film and may suggest dry eye disease. Measured with the IDRA instrument.

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  3. Visual Acuity (logMAR)

    Measurement of the clarity and sharpness of vision using the logMAR scale. Lower logMAR values indicate better visual acuity and the ability to see finer details.

    Measured: At day 1: At baseline

  4. Area under the contrast sensitivity function curve (AULCSF)

    Contrast sensitivity test: Participants are asked to identify patterns (such as stripes or letters) that become increasingly difficult to see

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  5. Scores on the OSDI-6 questionnaires

    Assessment of dry eye disease symptoms and their impact on daily activities using the OSDI-6 questionnaire. It is the recommended questionnaire for dry eye disease. The questionnaire used six items. Each item is scored from 0 to 4 according to symptom frequency (0 = never, 1 = sometimes, 2 = often, 3 = mostly, 4 = constantly). The total score ranges from 0 to 24, with higher scores indicating more severe dry eye symptoms

    Measured: At day 1: At baseline

  6. Scores on the IOSS questionnaires

    Assessment of the frequency and severity of symptoms related to dry eye disease using the IOSS questionnaire. The questionnaire used two items. Each item is scored from 0 (symptom never experienced) to 5 (very intense) with 1 (not intense at all). Higher scores indicate greater symptoms.

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  7. Blinking: frequency, duration, maximum interval, etc.

    Assessment of blinking behavior, including how often participants blink, how long each blink lasts, the maximum time between blinks, etc. These measures help evaluate visual fatigue and tear film stability during screen use. They will be measured with cameras and eyetracker.

    Measured: From enrollment to 7 days after enrollment: Before, after and during a digital eye strain task

  8. Eye movements: saccades (amplitude, velocity, duration, frequency, latency, gain)

    Assessment of rapid eye movements (saccades), including their amplitude, velocity, duration, frequency, reaction time, and accuracy. These measures provide information about visual behavior and the effects of visual fatigue. They will be measured with cameras and eyetracker.

    Measured: From enrollment to 7 days after enrollment: During a digital eye strain task

  9. Eye movements: fixations (position, duration, dispersion, number, frequency, stability, area)

    Assessment of eye fixations, including where and how long participants look at an object an the screen, as well as the stability and distribution of their gaze. These measures help evaluate visual attention, reading behavior, and the effects of visual fatigue. They will be measured with cameras and eyetracker.

    Measured: From enrollment to 7 days after enrollment: During a digital eye strain task

Secondary outcomes (19)
  1. Tear Meniscus Height (TMH) (millimeters)

    Measurement of the height of the tear reservoir along the lower eyelid. TMH provides an indication of tear volume, with lower values suggesting reduced tear production and risks of dry eye disease. Measured with the IDRA instrument.

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  2. Thickness of the lipid layer (nm)

    Measurement of the thickness of the outer oily layer of the tear film, which helps prevent tear evaporation. Thinner lipid layers may indicate tear film instability and an increased risk of dry eye disease symptoms. Measured with the IDRA instrument.

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  3. Ocular Redness Score

    Assessment of eye redness by evaluating the appearance of blood vessels on the surface of the eye. Higher scores indicate greater ocular irritation and inflammation, which may be associated with dry eye disease or visual fatigue. Measured with IDRA instrument.

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  4. Characteristics of the lipid layer (interferometry, colors, homogeneity, fringe pattern)

    Assessment of the quality and structure of the tear film's outer lipid layer. Parameters such as color patterns, uniformity, and interference fringes provide information about tear film stability and the risk of dry eye disease. Measured with the IDRA instrument.

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  5. Screen time since waking up (hours)

    Measurement of the total time spent using digital screens since waking up on the day of the assessment. This measure helps evaluate the potential impact of screen exposure on visual fatigue and dry eye disease symptoms.

    Measured: From enrollment to 7 days after enrollment: At the start of each visit

  6. Weekly screen time (hours)

    Measurement of the average number of hours spent using digital screens each week across all devices. This measure helps assess long-term screen exposure and its potential impact on visual fatigue and dry eye disease symptoms.

    Measured: At day 1: At baseline

  7. Score on the Digital Eye Strain Questionnaire

    Assessment of symptoms related to digital eye strain, such as eye discomfort, blurred vision, headaches, and visual fatigue. Each symptom is rated on a scale from 0 to 10, where 0 indicates no symptoms, 1 indicates very mild symptoms, and 10 indicates very severe symptoms. Higher scores indicate more severe symptoms.

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  8. Optical quality: Total optical aberration (total RMS, micrometers), High-order optical aberration (RMS HOAs and per order, micrometers)

    Assessment of the optical quality of the eye by measuring imperfections that affect image clarity. Total aberrations reflect overall optical distortion, while higher-order aberrations assess more subtle distortions that can reduce visual quality. Measured with a Pentacam AXL.

    Measured: At day 1: At baseline

  9. Accommodative measurements: PPA (centimeters) or AA (diopters), Accommodative rock (cycles/degree)

    Assessment of the eye's ability to focus on near objects and rapidly switch focus between different distances. These measures provide information about visual flexibility, focusing performance, and visual fatigue. Measured with optometric instruments.

    Measured: At day 1: At baseline

  10. Cardiac activity (ECG) (beats per minute, variability in ms/Hz, interval between beats, etc.)

    Measurement of heart activity, including heart rate, heart rate variability, and the time between heartbeats. These parameters provide information about physiological responses to stress, mental workload, and visual fatigue during the study. Measured with a smartwatch.

    Measured: From enrollment to 7 days after enrollment: Before, after and during a digital eye strain task

  11. Electrodermal activity (EDA) (frequency of phasic responses, conductance-level and response.)

    Measurement of changes in skin conductance, including baseline levels and rapid responses to stimuli. These parameters reflect physiological arousal, stress, and cognitive workload, providing insight into the body's response to visual tasks and fatigue. Measured with a smartwatch.

    Measured: Before, after and during a digital eye strain task

  12. Mitochondrial activity: autofluorescence score (FPF intensity, FPF heterogeneity)

    Assessment of mitochondrial function by measuring flavoprotein autofluorescence (FPF) in the eye. FPF intensity and heterogeneity provide indicators of cellular metabolic activity and oxidative stress, which may reflect changes in ocular health and visual fatigue. Measured with an OcuScience device.

    Measured: From enrollment to 7 days after enrollment: Before and after a digital eye strain task

  13. Reading speed (number of words read per minute)

    Measurement of the number of words read per minute, providing an indicator of reading performance, and the potential impact of visual fatigue and dry eye disease on reading ability.

    Measured: From enrollment to 7 days after enrollment: During a digital eye strain task

  14. Errors made during the digital eye strain task (number of actions not taken and actions taken incorrectly)

    Measurement of the number of mistakes made during the screen task. This outcome provides an indicator of attention, task performance, and the effects of visual fatigue and dry eye disease on accuracy.

    Measured: From enrollment to 7 days after enrollment: During a digital eye strain task

  15. Biometry: Choroidal thickness (microns)

    Measurement of the thickness of the choroid. Measured with spectral domain optical coherence tomography (OCT B-scan)

    Measured: At day 1: At baseline

  16. Biometry: Vascular density percentage (%)

    Measurement of the vascular density percentage of the retina. Measured with spectral domain optical coherence tomography (OCT B-scan). Used to evaluate retinal blood vessel perfusion and microvascular health.

    Measured: At day 1: At baseline

  17. Biometry: Foveal avascular zone (mm²)

    Measurement of the size of the central retinal area devoid of blood vessels, located at the fovea. Measured with optical coherence tomography angiography (OCTA). This measure is used to assess retinal microvascular integrity.

    Measured: At day 1: At baseline

  18. Biometry: Axial length (mm)

    Measurement of the distance from the anterior surface of the cornea to the retinal pigment epithelium along the eye's optical axis, expressed in millimeters. Measured using Pentacam AXL. This measure is used to assess ocular size.

    Measured: At day 1: At baseline

  19. Biometry: Pupillary diameter (mm)

    Measurement of the diameter of the pupil, expressed in millimeters. Measured using Pentacam AXL under standardized lighting conditions. This measure is used to assess pupillary function.

    Measured: At day 1: At baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Sep 2026
  2. Study startOct 2026 (estimated)
  3. Primary completionNov 2027 (estimated)
  4. Study completionNov 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07844408
Sponsor's protocol ID
WS10509
Other IDs
2026-A00841-50
Acronym
RReye
Status last verified
Sep 2026
First submitted
14 Sep 2026
Last updated
28 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Eye Exams, Ocular Biometry and Aberrometry and Wearing a Smartwatch in people with Myopia and Dry Eye Disease (DED), run by Essilor International at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 28 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Delphine Tranvouez-Bernardin (+33 1 55 96 47 04, tranvoud@essilor.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Contrast Sensitivity at Different Spatial Frequencies (logMAR) (time frame: From enrollment to 7 days after enrollment: Before and after a digital eye strain task). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Sep 2026.

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