AIMS To evaluate the role of 17-β-oestradiol, oestrone and total testosterone (TT) deficiency in the pathogenesis of severe evaporative dry eye syndrome (DES), investigating the relationship between tear osmolarity, tear film break-up time (TF-BUT), Schirmer test and serum sex hormones in postmenopausal women. METHODS 44 postmenopausal women were recruited for a case-control study: 22 women w...

OBJECTIVES To evaluate dry eye disease (DED) in patients with metabolic syndrome (MetS) and compare with healthy individuals. METHODS The study was conducted in the Ophthalmology and Endocrinology Department of Bagcilar Education and Research Hospital, a tertiary care center in Istanbul, Turkey, between January and December 2015. In this prospective case-controlled study, dry eye disease test...

Purpose Electrical neurostimulation enhances tear secretion, and can be applied to treatment of dry eye disease. Using a chronic implant, we evaluate the effects of stimulating the anterior ethmoid nerve on the aqueous, lipid, and protein content of secreted tears. Methods Neurostimulators were implanted beneath the nasal mucosa in 13 New Zealand white rabbits. Stimulations (2.3-2.8 mA pulses...

which either decreases tear production or increases tear evaporation (Figure 1). Increased tear osmolarity is the link between changes in the lacrimal glands and lids, and disease of the ocular surface. Studies of pre-clinical models of lacrimal gland disease and meibomian gland dysfunction show that the ocular surface changes of dry eye disease are dependent upon and proportional to increases ...

PURPOSE To compare the effects on tolerability, tear osmolarity, and intraocular pressure (IOP)-lowering effect of switching from benzalkonium chloride (BAK) containing prostaglandin analog (PGA) latanoprost to preservative-free tafluprost. PATIENTS AND METHODS Thirty patients with open-angle glaucoma (N = 60 eyes), 26 women (87%) and four men (13%) aged 64.1 (SD 14.1) years, showing abnormal...

To determine whether the osmolarity of rabbit lacrimal gland fluid (LGF) changes with flow rate, microvolumes (approximately 0.2 microliters) were collected directly from he cannulated glandular excretory duct of anesthetized rabbits. Low flow rates were obtained by collection of LGF 5 min after instillation of proparacaine: higher flow rates were obtained by stimulation with 0.45, 0.9, 3.8, or...

The dynamics of the tear film are reviewed with specific reference to the biophysical aspects: distribution, turnover and elimination through evaporation, drainage, and absorption. The review concentrates on quantitative assessments and is confined to aspects of the dynamics that can be fully and directly measured. The techniques of fluorophotometry, fluorescein clearance, lacrimal scintigraphy...