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     VIVA Eye Drops

VIVA from Corneal Science Corporation, is an important therapy for dry-eye patients.  VIVA has been shown to restore osmolarity to proper levels and increase the continuous integrity of the tear film (evidenced by increased BUT measurement).  An antioxidant in VIVA has been shown to aid epithelial healing and help prevent oxidative stress.  This is the only multi-dose, over-the-counter drop that is truly preservative-free.  VIVA come in 10mL and 15mL sizes with a 4-year shelf life.  

  VIVA Eye Drops Radio Commercial (60 sec)

VIVA MEDICINAL AND THERAPEUTIC VALUE

 

Research in four areas critical to dry-eye management indicates that the VIVA formula is ideally balanced to address these issues.

 

PRESERVATIVE-FREE

 

VIVA are the only true preservative free drop in a multi dose bottle.  Some artificial tears contain a “disappearing” preservative, often borate or hydrogen peroxide.  But many patients lack sufficient tears to dissolve the preservative.  These preservatives can be toxic to an already compromised cornea.  These patients need a truly preservative-free drop such as VIVA. 

Preservatives in contact lens solutions or pharmaceuticals can be a cause of dry eye.  The preservatives in certain medications (i.e. BAK) are known to cause corneal epithelial damage.  Frequent use of eye drops with preservatives can eventually cause a toxic reaction.

 

OSMOLARITY MAINTAINED PRECISELY AT THE NORMAL TEAR LEVEL

 

Studies have shown that dry eye can produce the byproducts of oxidative stress and that the osmolarity of tears increases in a dry eye.  The osmolarity of VIVA is maintained precisely at normal tear levels.  VIVA restore normal osmolarity. 

 

VITAMIN A

 

One component of VIVA, a vitamin A derivative, has been shown to help heal the epithelium.  A healthy epithelium, as well as improved tear integrity, contributes to increased goblet cell production. A secondary benefit is that vitamin A complexes with lipocalin, which is known to help maintain normal tear film.  This complexing and the epithelial healing that takes place in the presence of VIVA may be responsible for the measured doubling of tear BUT seen in patients who use VIVA.  In one study, BUT went from a mean of 3.7 seconds to a mean of 8.6 seconds.  50% of the patients increased to more than 10 seconds.

 

ANTIOXIDANTS

 

VIVA contains an iron chelator that scavenges for free iron in the tears, as well as seven antioxidants, that are crucial for avoiding free radical damage secondary to the inflammatory process.  These antioxidants aid in epithelial healing required for a compromised cornea.  Free radicals are released into the tears from any surgery performed on the cornea, contact lens use, in the presence of free iron (aqueous deficient – low Lactoferrin levels) and during any type of inflammatory process involving the cornea and the conjunctival tissue.  Studies show that VIVA also relieve the signs and symptoms of GPC patients and blepharitis patients.

 

VIVA WITH CONTACT LENSES

 

         VIVA are safe to use with contact lenses when an eye doctor believes a dry eye is present or has been induced.  Studies show that they reduce the complications due to the wearing of contact lenses and provide patients with greater comfort and an increased ability to wear their lenses for longer periods of time.

 

VIVA COSTS LESS TO THE CONSUMER THAN OTHER PRESERVATIVE FREE EYE DROPS

 

Cost is another important factor for patients, and the cost of VIVA compares very favorably to preservative-free, unit-dose drops.  A recent report estimated the average cost per ampule of preservative-free, unit-dose artificial tears is 35 cents.  VIVA cost is 7.5 cents per use.

 

DOES VIVA CONTAIN CARBOXYMETHYLCELLULOSE?

 

NO, THEY DO NOT.  Carboxymethylcellulose seals and holds the moisture of the eye drops.  It also acts to give the drops its viscosity.  All cellulose solutions may provide a corneal barrier which prevents the nutrients from the eye drops being absorbed. 

 

LASIK APPLICATIONS

 

The ideal tears for post-LASIK patients should be preservative-free.  Artificial tears should also have the ability to provide an environment that will heal the epithelium and restore the tear integrity to maintain the ocular health of a compromised cornea preoperative as well as postoperatively.  VIVA fulfills all these requirements.

In a 3 Month Double Blind Comparison Study with VIVA vs. Lubricant/Saline
  • BUT used as gauge of tear integrity
  • Mean Break-Up Time
    VIVA DROPS Lub/Saline
    Before Treatment 3.7 sec 3.7 sec
    After Treatment 8.6 sec 3.9 sec
    50% of patients increased to >10 sec with VIVA

    For additional information, see our trade flyer on Dry Eye. This information is provided in Adobe Acrobat format, if you do not have Adobe Acrobat installed on your system, click on the 'Get Acrobat' button below to download and install Acrobat on your system.

 

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