Direct observation and validation of fluorescein tear film break-up patterns by using a dual thermal-fluorescent imaging system

Tai Yuan Su, Shu Wen Chang, Chiao Ju Yang, Huihua Kenny Chiang

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

The fluorescein tear film break-up test is a common tear film stability test for dry eye diagnosis. This test requires applying fluorescein sodium drops to a tear film to observe the tear film break-up. However, this test is limited by using the fluorescein sodium drops, which can induce reflex tearing and reduce the reliability of the diagnosis results. This paper proposes that tear film evaporation accelerates on the fluorescein tear film break-up area (FTBA), resulting in a lower temperature area (LTA) on the tear film. A dual modality system was established to capture the thermal and fluorescent image of fluorescein-stain tear films for 48 participants. Observations showed that the LTA and FTBA were highly correlated in their location (r = 0.82) and size (r = 0.91). This is first study to show that the FTBA and LTA are essentially the same region. This study demonstrated the feasibility of using the noncontact thermograph method to evaluate tear film stability without using a fluorescein sodium drop.

Original languageEnglish
Pages (from-to)2614-2619
Number of pages6
JournalBiomedical Optics Express
Volume5
Issue number8
DOIs
StatePublished - 1 Aug 2014

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