• Title/Summary/Keyword: Schirmer tear test

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Comparison Among the Four Examination Methods for Dry Eye (OQAS test, TBUT, Schirmer Test, McMonnies test) (4가지 건성안 분석방법(OQAS test, TBUT, Schirmer test, McMonnies test)의 비교)

  • Park, Chang Won;Kim, Hyojin
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.4
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    • pp.519-526
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    • 2015
  • Purpose: To evaluate the changes of OSI value according to tear-film instability measured serially by OQAS(Optical Quality Analysis System, Visiometrics, Spain) every seconds. The presented study analyzed the relationship of the OQAS parameter with the results of the tear-film break-up time, Schirmer test, and the McMonies score. Methods: 147 eyes of 82 subjects were randomly selected from university students (age: $21.51{\pm}3.97$, male 45, female 37). Subjects were measured tear-film break-up time, Schirmer test, McMonies score and once every second for 15 seconds after blinking by continuous measurements from OQAS system. Results: The normal eye groups presented OSI values of $2.13{\pm}1.16$ while the dry eye groups had OSI values of $3.76{\pm}1.42$. Therefore, a significant difference between the normal eye group and dry eye group was discovered (p<0.05). In addition, the OSI value of all subjects increased over time. The OSI value, which was measured every second after blinking occurred, significantly increased between 6 seconds and 7 seconds after the start of the measurement (p<0.05). OSI cut off of 30% (sec.) showed a greater correlation; TBUT (r = 0.855, p = 0.000), McMonies test (r = -0.351, p = 0.003), Schirmer (r = 0.316, p = 0.012). Conclusions: Continuous measurement of OQAS showed a high correlation with the value of the existing dry eye tests. Therefore, Analysis of OSI values by utilization of OQAS could be useful in objectively evaluation of tear film in patients.

Development of Cellulose Strip for Dry Eye Inspection (건성안검사용 셀룰로즈 스트립 개발)

  • Lee, Myeonggu;Jeong, Myeong-jin
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.355-359
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    • 2019
  • Schirmer test is one of the most used methods for the diagnosis of dry eye. We attempted to develop a tear level measurement tool to replace unreliable Schirmer test with inaccurate results. Absorbency tests for various absorbents were carried out. As a result, ${\alpha}$ cellulose pulp was selected as the absorbent. Prototypes were produced and evaluated twice. Finally a tear level measurement tool in the form of a strip of ${\alpha}$ cellulose pulp adhered to a polyurethane was prepared. Usability evaluation of prepared tear level measurement tool was performed. As a result, it was confirmed that it has a significant correlation with SM tube developed oversea recently. In addition, it was judged to be useful as an alternative to the Schirmer test in terms of measurement time and accuracy.

Tear formation, the patency and the angle of bend of nasolacrimal duct in poodle dogs with tear staining syndrome (Tesr staining syndrome이 있는 poodle에서 눈물생산, 비루관 개통성 및 굴곡도)

  • Seo, Kang-moon;Nam, Tchi-chou
    • Korean Journal of Veterinary Research
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    • v.35 no.2
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    • pp.383-390
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    • 1995
  • This study was performed to investigate the characteristics of tear staining syndrome in poodle dogs. Schirmer tear test, fluorescein dye test and measurement of the angle of bend between vertical and horizontal bony nasolacrimal duct were conducted in both poodles and German shepherd dogs. There were no significant differences between normal and tear-stained poodles in tear formation determined by Schimer tear test. However, there was significantly higher tear production in German shepherds than that in normal poodles(p<0.05). In the fluorescein dye test for the measurement of tear excretion, the dye was observed within $14.5{\pm}6.5$ minutes after dropping of the dye in normal poodles, but was not observed even over 30 minutes in tear-stained poodles. German shepherds had rather rapid passage time($0.4{\pm}0.3$ minutes) than poodles in the dye excretion. In the measurement of the angle of bend between vertical and horizontal bony nasolacrimal duct through dacryocystorhinography, there were no significant differences between normal tear-stained poodles with showing $85.0{\pm}6.8^{\circ}$ and $89.8{\pm}6.5^{\circ}$, respectively. However, obtuse angle of bend($106.8{\pm}4.7^{\circ}$) was shown in German shepherds. These results have ascertained that tear staining syndrome of poodle dogs was not related to tear production but to the rate of tear excretion.

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The stability of tear film for Korean (한국인에 대한 누액 안정성 조사)

  • Lee, Seong-Wook;Sim, Hyun-Seog;Jang, Seong-Joo
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.2
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    • pp.161-164
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    • 2001
  • The purpose of our study was stability of tear film for Korean. In the 1970s, the major problem for the contact lens practitioner was the management of contact lens parameters. In the 1980s, oxygen permeability was the main problem in contact lens practice: now it is dry eyes. To appropriately fit the patient with contact lenses it is imperative to know in advance if the patient has a marginal dry eye. Based on the initial diagnosis appropriate care can be taken to minimize problems with the result that the patient can successfully wear contact lenses. A well known test for dry eyes is Schirmer test which has shown to be useful for diagnosing Sjogren syndrome. Biomicroscopy can often unmask numerous problems. The classical test for marginal dry eye is measuring the tear break up time(TBUT). A dry eye problem with contact lenses is often caused by the lid. If an incomplete blink is responsible for the dry eye it is possible to change the situation by blinking exercises. The result of these test, mean value of age was 22.8, mean value of blink rate was 19 times/min, mean value of Schirmer test was 25 mm/5 min, mean value of TBUT was 7.1 sec.

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The differences of tear film for young Korean of a day indoor space (실내 공간 내에서 한국인 청년의 하루 중 눈물층 변화)

  • Oh, Hyun Jin;Lee, Ji-Young
    • Journal of Digital Convergence
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    • v.10 no.11
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    • pp.535-540
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    • 2012
  • This study is to research the differences of tear film for young people in of a day in a restricted indoor space. The subjects are 58 eyes volunteers for twice preliminary inspection and tear test of a day. 58 healthy individuals with no eye disease, no body disease, orthophoria, corrective visual acuity more than 0.8, binocular spherical equivalence difference over 0.50 diopter, the flattest corneal curvature in horizontal meridian and the steepest corneal curvature in vertical meridian were tested. The uncorrective visual acuity, refractive error, corneal curvature, schirmer test and tear break up test were performed in the morning and afternoon. Schirmer test were $16.0{\pm}7.0mm$ in the morning and $14.1{\pm}7.1mm$ in the afternoon. TBUT were $11.3{\pm}0.6$ sec in the morning and $12.1{\pm}0.9$ sec in the afternoon. They have no significant differences.

A Study on the Confidence of Dry Eye Diagnosis Methods (건성안 검사 방법의 신뢰도에 대한 연구)

  • Lee, Byeong Jun;Hong, Jae Hyeon;Jung, Dai;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.15-20
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    • 2008
  • Purpose: To study on the confidence of dry eye diagnosis methods which need to prescribe contact lens. Methods: Non-invasive tear film break-up time (NIBUT) and tear film break-up time (TBUT) were measured in forty healthy subjects in their 20s, and then the subjects were classified into normal eye and dry eye. The results of McMonnies questionnaire, tear prism height measurement, Hardtack test, blink rate measurement and Schirmer test were compared with the results of NIBUT and TBUT. Results: The results of NIBUT and TBUT were as follows; 20 subjects had normal eyes, 10 subjects had dry eyes in both NIBUT and TBUT, and 10 subjects showed different results. In McMonnies questionnaire, the score of normal eye group averaged 8.2 and that of dry eye group averaged 18.5, which showed statistically significant difference. Furthermore, 100% of normal eye group classified by the results of NIBUT and TBUT corresponded with the result of McMonnies questionnaire and 90% of dry eye group showed the correspondence. Tear prism height of normal eye group averaged 0.32 mm and that of dry eye group averaged 0.23 mm, which were significantly different. Hardtack test, blink rate measurement and Schirmer test without local anesthesia showed no statistically significant difference between normal eye group and dry eye group. Conclusions: On dry eye diagnosis methods, the results of McMonnies questionnaire and tear prism height measurement had close correlation with the results of NIBUT and TBUT.

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The Effect of Punctal Occlusion with Thermal Cautery after Third Eyelid Resection in Dogs (개에서 제3안검 제거 후 전기소작법을 이용한 누점폐쇄 효과)

  • Choi Jang-Yoon;Park Hyun-Jeong;Lee Joo-Myoung
    • Journal of Veterinary Clinics
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    • v.23 no.1
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    • pp.50-54
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    • 2006
  • To evaluate the effect of punctal occlusion on tear preservation after third eyelid resection, 10 eyes were operated in dogs and observed changes in tear preservation using Schirmer tear test (STT). Punctal occlusion was performed on five healthy dogs with no clinical sings of ocular irritation and no history of dry eye syndrome. The STT was performed for 10 days before surgery, and on the day 0, 1, 3, 5, 7, 9, 11, 13, 17, 21, 25, and 30 after third eyelid resection. The mean STT was $17.4{\pm}0.15$ mm/min($mean{\pm}SEM$) for 10 days before surgery. And, it was $11.5{\pm}0.55$mm/min for 30 days after surgery in puntal occlusion(PO) group. The mean STT was $17.3{\pm}0.32$ mm/min for 10 days before surgery. And, it was more decreased to $6.5{\pm}0.60$ mm/min for 30 days after surgery in control group. The paired t-test was performed. Mean STT after the third eyelid resection was higher in PO group than that of control throughout experimental period (p<0.05). In summary, the effect of thermal punctal occlusion significantly increased on the tear preservation by $28.86{\pm}7.96%$. These results suggest that application of thermal punctal occulsion in dry eye syndrome will promote tear preservation.

Association of serum 25-hydroxyvitamin D concentrations with Schirmer tear test 1 and tear film breakup time in dogs

  • Youngsam Kim;Seonmi Kang;Kangmoon Seo
    • Journal of Veterinary Science
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    • v.24 no.2
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    • pp.32.1-32.10
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    • 2023
  • Background: The association between vitamin D and canine keratoconjunctivitis sicca (KCS) has not been investigated in dogs. Objectives: To investigate the association of serum 25-hydroxyvitamin D [25(OH)D] concentrations with Schirmer tear test 1 (STT-1) and tear film breakup time (TFBUT) in dogs. Methods: Sixty-one clinically healthy, client-owned dogs were enrolled. STT-1 and TFBUT were measured in 122 (61dogs) and 82 (41 dogs out of total 61 dogs) eyes, respectively. Serum 25(OH)D concentrations were evaluated by quantitative chemiluminescent immunoassay. The dogs were classified into 6 groups according to the evaluations (STT-1: group 1, normal [≥ 15 mm/min] in both eyes; group 2, normal in one eye and abnormal [< 15 mm/min] in the fellow eye; group 3, abnormal in both eyes; TFBUT: group 4, normal [≥ 20 sec] in both eyes; group 5, normal in one eye and abnormal [< 20 sec] in the fellow eye; group 6, abnormal in both eyes). Results: STT-1 was positively correlated with TFBUT (p < 0.001). Among the STT-1 groups, the mean serum 25(OH)D concentration in group 1 was significantly higher than in groups 2 and 3 with positive correlation (p < 0.001). However, there were no significant differences among the TFBUT groups 4, 5, and 6. Conclusions: In dogs, it was found that serum 25(OH)D concentrations had a greater effect on quantitative KCS than qualitative KCS. Therefore, it is considered that measurement of serum 25(OH)D concentration could be included in the diagnostic tests in canine quantitative KCS patients.

The Study of tear film stability for normal eyes in adults (성인 정상안의 눈물 안정성에 대한 연구)

  • Oh, Hyun-Jin;Doo, Ha-Young;Sim, Sang-Hyun;Choi, Sun-Mi;Oh, Seung-Jin
    • Journal of Convergence Society for SMB
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    • v.6 no.4
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    • pp.85-91
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    • 2016
  • This study is to research the tear film stability for 48 eyes, agreed the purpose of study, didn't have no contact lens wearing and were tested all two times in a day. Their visual acuity was more than 0.8, corrective visual acuity more than 0.8, the fattest K-reading, apical corneal radius, was in 7.40~8.40mm, corneal astigment was less than 1.00D and orthophoria. The tests, tear scope test, tear film break up time test(TBUT) and schirmer test order, were performed their functions before and after their working at interval of 6 hours over. The tearscope test results was no difference, TBUT was no difference, although 1.2 seconds more in the afternoon, shcirmer test was decreased 2.0mm in the afternoon.

The Research of Fitting Status of R.G.P Lenses Inspected by Optometrists in In-Cheon and Kyung-Gi Region (인천·경기지역 안경사들을 대상으로 한 R.G.P 렌즈 착용 실태 조사)

  • Kim, In-Suk;Kim, Young-Pil;Kim, Jung-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.27-33
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    • 2007
  • This research investigated the effects of spherical and aspherical R.G.P lenses which was performed by optometrists in In-Cheon and Kyung-Gi region. This research survey included various questions such as the fitting status, after-care method, preliminary test. Results of the survey revealed that the optometriests sold the asperical and spherical lenses with a ratio of 7:3, respectively, and most of them did not cheked Topography, Fluorescein test by slit lamp biomicroscope, Tear Break up time test, Schirmer test and so on. And, with fitted R.G.P lenses symptoms like light odd-feeling, congestion, eye-stimulus, dimness and dryness were frequently reported. The purposes of this study are to search for the ideal fitting check of R.G.P lens and remind the most important preliminary test for contact lens fitting.

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