Dietary Supplements

Potential ocular health benefit of short-term omega-3 fatty acids supplementation on the ocular tear film: An observational study.

TL;DR

Oral consumption of omega-3 fatty acids over 3 consecutive days significantly improved the comfort, stability, and quality of the ocular tear film, but no significant change was observed in tear volume.

Key Findings

Short-term omega-3 fatty acid supplementation significantly improved dry eye symptom scores as measured by the SPEED questionnaire.

  • Fifty subjects aged 18 to 27 years received 2 soft gels of molecularly distilled omega-3 fatty acids for 3 consecutive days.
  • Significant differences were found in median SPEED scores before and after omega-3 consumption (Wilcoxon signed-rank test, P < .001).
  • The control group showed no significant difference in SPEED scores between days 1 and 4 (P = .093).
  • Measurements were taken before supplementation and 24 hours after the third dose.

Short-term omega-3 fatty acid supplementation significantly improved noninvasive tear breakup time (NITBUT), indicating improved tear film stability.

  • Significant differences were found in median NITBUT scores before and after omega-3 consumption (Wilcoxon signed-rank test, P < .001).
  • The control group showed no significant difference in NITBUT scores between days 1 and 4 (P = .149).
  • The supplementation period was 3 consecutive days with 2 soft gels per day.
  • NITBUT was assessed using noninvasive methods.

Short-term omega-3 fatty acid supplementation significantly improved tear ferning (TF) test scores, indicating improved tear film quality.

  • Significant differences were found in median TF scores before and after omega-3 consumption (Wilcoxon signed-rank test, P = .040).
  • The control group showed no significant difference in TF scores between days 1 and 4 (P = .567).
  • Tear ferning reflects the crystallization pattern of tears and is associated with tear film quality.
  • This was a statistically significant but relatively weaker effect compared to SPEED and NITBUT findings.

Short-term omega-3 fatty acid supplementation did not significantly change tear meniscus height (TMH), indicating no effect on tear volume.

  • Consuming omega-3 fatty acids showed no significant difference in TMH score (P value not specified as significant in the abstract).
  • The control group similarly showed no significant difference in TMH scores between days 1 and 4 (P = .831).
  • TMH is used as a proxy measure for tear volume.
  • Authors concluded 'no significant change was observed in tear volume after the consumption of omega-3 fatty acids.'

The control group showed no significant differences in any tear film measures between days 1 and 4, confirming the absence of a time effect without supplementation.

  • An age-matched control group of 50 subjects was included for comparison and received no omega-3 supplementation.
  • No significant differences were observed in SPEED (P = .093), NITBUT (P = .149), TMH (P = .831), and TF (P = .567) scores between days 1 and 4 in the control group.
  • Control subjects were measured on the same schedule (days 1 and 4) as the treatment group.
  • Subjects in both groups were aged 18 to 27 years.

The study design involved a short supplementation period of 3 consecutive days with measurements taken before supplementation and 24 hours after the third dose.

  • All subjects received 2 soft gels of molecularly distilled omega-3 fatty acids daily for 3 consecutive days.
  • First measurements were taken before the supplement was consumed; second measurements were taken 24 hours after the third dose.
  • The Wilcoxon signed-rank test was used to assess statistical significance of differences in median scores.
  • Tests administered included SPEED questionnaire, NITBUT, TMH, and tear ferning (TF).
  • Authors noted further research is necessary to verify general applicability of the findings and address existing limitations.

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Citation

Almutairi M, Almutleb E, Bajsair A, El-Hiti G, Altoaimi B, Alghamdi M, et al.. (2025). Potential ocular health benefit of short-term omega-3 fatty acids supplementation on the ocular tear film: An observational study.. Medicine. https://doi.org/10.1097/MD.0000000000046566