High-Speed Videotopographic Measurement of Tear Film Build-up Time

To detect tear film regularity changes in the 15 seconds after a blink, by using a new high-speed videotopographic method. The new system, based on a standard corneal topograph, allows registration of four photokeratoscopic images per second. Altogether, 15 eyes of 15 healthy volunteers and 7 eyes o...

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Veröffentlicht in:Investigative ophthalmology & visual science 2002-06, Vol.43 (6), p.1783-1790
Hauptverfasser: Nemeth, Janos, Erdelyi, Bela, Csakany, Bela, Gaspar, Peter, Soumelidis, Alexandros, Kahlesz, Ferenc, Lang, Zsolt
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container_end_page 1790
container_issue 6
container_start_page 1783
container_title Investigative ophthalmology & visual science
container_volume 43
creator Nemeth, Janos
Erdelyi, Bela
Csakany, Bela
Gaspar, Peter
Soumelidis, Alexandros
Kahlesz, Ferenc
Lang, Zsolt
description To detect tear film regularity changes in the 15 seconds after a blink, by using a new high-speed videotopographic method. The new system, based on a standard corneal topograph, allows registration of four photokeratoscopic images per second. Altogether, 15 eyes of 15 healthy volunteers and 7 eyes of 7 patients with dry eye were examined in this prospective preliminary study. The main outcome measures were changes in surface regularity index (SRI), surface asymmetry index (SAI), and corneal power. The corneal surface became more regular in the first few seconds after a blink. In healthy eyes, the trend line of SRI and SAI decreased (improved) significantly (P < 0.001) after a blink, in 10 of 15 eyes for the SRI and in 13 of 15 for the SAI. In the typical cases, the trend line for SRI reached its minimum level, on average, at 7.1 +/- 3.9 seconds after a blink and that for the SAI at 5.4 +/- 2.7 seconds. Similar trends were found in the dry-eye group. The changes in keratometric measures were small (mean range,
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The new system, based on a standard corneal topograph, allows registration of four photokeratoscopic images per second. Altogether, 15 eyes of 15 healthy volunteers and 7 eyes of 7 patients with dry eye were examined in this prospective preliminary study. The main outcome measures were changes in surface regularity index (SRI), surface asymmetry index (SAI), and corneal power. The corneal surface became more regular in the first few seconds after a blink. In healthy eyes, the trend line of SRI and SAI decreased (improved) significantly (P &lt; 0.001) after a blink, in 10 of 15 eyes for the SRI and in 13 of 15 for the SAI. In the typical cases, the trend line for SRI reached its minimum level, on average, at 7.1 +/- 3.9 seconds after a blink and that for the SAI at 5.4 +/- 2.7 seconds. Similar trends were found in the dry-eye group. The changes in keratometric measures were small (mean range, &lt;1.5% of the absolute value) and showed no definite trends. High-speed videotopography provides the possibility of quantitative measurement of tear-film dynamics and may have clinical value in the management of ocular surface disorders. After a blink, it takes the tear film approximately 3 to 10 seconds (tear film build-up time) to reach the most regular state. However, despite surface-regularity changes, the measured corneal powers are stable.</description><identifier>ISSN: 0146-0404</identifier><identifier>EISSN: 1552-5783</identifier><identifier>PMID: 12036979</identifier><identifier>CODEN: IOVSDA</identifier><language>eng</language><publisher>Rockville, MD: ARVO</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Blinking ; Cornea - metabolism ; Corneal Topography ; Dry Eye Syndromes - metabolism ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Ophthalmic Solutions - administration &amp; dosage ; Ophthalmology ; Pathology. Cytology. 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The new system, based on a standard corneal topograph, allows registration of four photokeratoscopic images per second. Altogether, 15 eyes of 15 healthy volunteers and 7 eyes of 7 patients with dry eye were examined in this prospective preliminary study. The main outcome measures were changes in surface regularity index (SRI), surface asymmetry index (SAI), and corneal power. The corneal surface became more regular in the first few seconds after a blink. In healthy eyes, the trend line of SRI and SAI decreased (improved) significantly (P &lt; 0.001) after a blink, in 10 of 15 eyes for the SRI and in 13 of 15 for the SAI. In the typical cases, the trend line for SRI reached its minimum level, on average, at 7.1 +/- 3.9 seconds after a blink and that for the SAI at 5.4 +/- 2.7 seconds. Similar trends were found in the dry-eye group. The changes in keratometric measures were small (mean range, &lt;1.5% of the absolute value) and showed no definite trends. High-speed videotopography provides the possibility of quantitative measurement of tear-film dynamics and may have clinical value in the management of ocular surface disorders. After a blink, it takes the tear film approximately 3 to 10 seconds (tear film build-up time) to reach the most regular state. However, despite surface-regularity changes, the measured corneal powers are stable.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blinking</subject><subject>Cornea - metabolism</subject><subject>Corneal Topography</subject><subject>Dry Eye Syndromes - metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ophthalmic Solutions - administration &amp; dosage</subject><subject>Ophthalmology</subject><subject>Pathology. 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Miscellaneous investigative techniques</topic><topic>Prospective Studies</topic><topic>Tears - metabolism</topic><topic>Time Factors</topic><topic>Videotape Recording</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nemeth, Janos</creatorcontrib><creatorcontrib>Erdelyi, Bela</creatorcontrib><creatorcontrib>Csakany, Bela</creatorcontrib><creatorcontrib>Gaspar, Peter</creatorcontrib><creatorcontrib>Soumelidis, Alexandros</creatorcontrib><creatorcontrib>Kahlesz, Ferenc</creatorcontrib><creatorcontrib>Lang, Zsolt</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Investigative ophthalmology &amp; visual science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nemeth, Janos</au><au>Erdelyi, Bela</au><au>Csakany, Bela</au><au>Gaspar, Peter</au><au>Soumelidis, Alexandros</au><au>Kahlesz, Ferenc</au><au>Lang, Zsolt</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High-Speed Videotopographic Measurement of Tear Film Build-up Time</atitle><jtitle>Investigative ophthalmology &amp; visual science</jtitle><addtitle>Invest Ophthalmol Vis Sci</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>43</volume><issue>6</issue><spage>1783</spage><epage>1790</epage><pages>1783-1790</pages><issn>0146-0404</issn><eissn>1552-5783</eissn><coden>IOVSDA</coden><abstract>To detect tear film regularity changes in the 15 seconds after a blink, by using a new high-speed videotopographic method. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Aged
Biological and medical sciences
Blinking
Cornea - metabolism
Corneal Topography
Dry Eye Syndromes - metabolism
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Ophthalmic Solutions - administration & dosage
Ophthalmology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Prospective Studies
Tears - metabolism
Time Factors
Videotape Recording
title High-Speed Videotopographic Measurement of Tear Film Build-up Time
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