About this trial
With the widespread use of digital devices and prolonged screen exposure, digital eye strain (DES), also known as computer vision syndrome, has become a global public health concern. Emerging evidence suggests that the gut-eye axis may play an important role in ocular health, as gut microbiota imbalance is associated with systemic inflammation and oxidative stress. Specific probiotics may help alleviate eye discomfort through modulation of immune responses and enhancement of antioxidant defense mechanisms. This randomized, double-blind, placebo-controlled study aims to evaluate the efficacy of supplementation with specific probiotics, Bifidobacterium longum BL531 and Lactobacillus reuteri LR1349, in improving digital eye strain symptoms in adults.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Men and women aged 20-65 years
Daily digital screen use >6 hours for at least 1 year
Mild to severe digital eye strain (CVS-Q score ≥ 6)
Mild to moderate dry eye symptoms (OSDI ≥ 13)
Disqualifiers
Amblyopia or strabismus
Severe eye diseases (e.g., glaucoma , cataract , retinal disorders, severe corneal disease)
Ocular surgery within the past 12 months
Chronic systemic diseases (e.g., uncontrolled diabetes, autoimmune disease, severe liver/kidney impairment, cancer)
Trial design
Parallel
Treatments tested in this trial
Placebo
Dietary supplementMaltodextrin
BL531_low dose
Dietary supplement1×10\^10 cfu/day
BL531_high dose
Dietary supplement2.5×10\^10 cfu/day
LR1349_low dose
Dietary supplement1×10\^10 cfu/day
LR1349_high dose
Dietary supplement2.5×10\^10 cfu/day
Treatment groups
Trial outcomes
Primary outcomes
Computer Vision Syndrome Questionnaire (CVS-Q)
The CVS-Q is a questionnaire used to assess digital eye strain associated with prolonged digital screen use. It includes 16 symptoms related to screen exposure. Total scores are classified as 0-5 (none/minimal), 6-12 (mild), 13-18 (moderate), and ≥19 (severe), with scores ≥6 indicating clinically significant digital eye strain.
Secondary outcomes
Ocular Surface Disease Index (OSDI)
The Ocular Surface Disease Index (OSDI) is a 12-item questionnaire used to assess the severity of dry eye symptoms and their impact on vision-related function and daily activities. Total scores range from 0 to 100, with higher scores indicating greater symptom severity.
Basic vision examination
A comprehensive ophthalmic examination will be performed, including uncorrected distance and near visual acuity, automated refraction, presbyopia assessment, distance and near vision correction, intraocular pressure measurement, and external eye photography for conjunctival hyperemia assessment.
Pupillary Response Test
Pupillary response testing will be performed using the Oculus Pentacam HR or an equivalent device to evaluate pupil size and response time under light and dark conditions. This assessment provides information on the visual system's adaptation to changes in illumination.
Tear Secretion Assessment
Tear meniscus height will be measured using the OS1000 Corneal Topographer (SBM sistemi, Italy) or an equivalent device as an indicator of tear secretion.
Sponsors and contacts
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