Tear film stability : a review

Deborah F. Sweeney, Thomas J. Millar, Shiwani R. Raju

    Research output: Contribution to journalArticlepeer-review

    190 Citations (Scopus)

    Abstract

    Tear film stability can be assessed via a number of tools designed for clinical as well as research purposes. These techniques can give us insights into the tear film, and allow assessment of conditions that can lead to dry eye symptoms, and in severe cases, to significant ocular surface damage and deterioration of vision. Understanding what drives tear film instability and its assessment is also crucial for evaluating existing and new therapies. This review examines various techniques that are used to assess tear film instability: evaluation of tear break-up time and non-invasive break-time; topographic and interferometric techniques; confocal microscopic methods; aberrometry; and visual function tests. It also describes possible contributions of different tear film components; namely meibomian lipids, ocular mucins and proteins, and factors such as age, contact lens wear, ocular surgery and environmental stimuli, that may influence tear film instability.
    Original languageEnglish
    Pages (from-to)28-38
    Number of pages11
    JournalExperimental Eye Research
    Volume117
    DOIs
    Publication statusPublished - 2013

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