The effect of refrigeration on the osmolality and pH of nonpreserved artificial tears containing carboxymethylcellulose.
INTRODUCTION: Nonpreserved artificial tears (NPAT) are a recommended treatment for dry eye. The manufacturers' instructions state to discard the container after initial opening and use. Some clinicians advocate the use and storage of NPAT in a zip-lock bag in a refrigerator for up to 12 h. The purpose of this study was to evaluate whether refrigeration of opened NPAT over a 12-h period had any effect on the pH or osmolality. METHODS: Forty individual carboxymethylcellulose NPAT samples were used in this study. The initial osmolality and pH of each sample were measured with a vapor pressure osmometer and electronic pH meter. The samples were refrigerated (4 degrees C) in closed zip-lock plastic bags for 12 h. After storage, the pH and osmolality of the samples were measured. The data were statistically analyzed for significant differences using a paired t-test. RESULTS: The mean initial pH and osmolality before refrigeration were 6.46 pH units and 304.10 mmol/kg, respectively. After refrigeration, the mean pH was 6.44 units, and mean osmolality was 305.87 mmol/kg. Paired t-tests revealed a nonsignificant difference (p > 0.05) for both pH and osmolality. CONCLUSION: Refrigeration of opened carboxymethylcellulose NPAT stored in closed zip-lock plastic bags does not have a significant effect on the osmolality or pH of the solution. Storage of NPAT containing carboxymethylcellulose is an acceptable practice with regards to stability of pH and osmolality.