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
Results
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.
Results
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.
Results
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.
Results
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.'
Results
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.
Methods
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.
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