2022
DOI: 10.1063/5.0101917
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Aerosol generation from tear film during non-contact tonometer measurement

Abstract: Aerosols, generated and expelled during common human physiological activities or medical procedures, become a vital carrier for the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). During non-contact intraocular pressure measurements, aerosols can be produced from the tear film on eyes and potentially convey the SARS-CoV-2 in tears, creating a high risk for eye care practitioners and patients. Herein we numerically investigate deformation and fragmentation of the tear films with va… Show more

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Cited by 3 publications
(2 citation statements)
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“…Further, in our recent study, we also deciphered the mechanism of tear film destabilization that leads to droplet generation and possibly a pathogen transmission mechanism through the corneal tear film disintegration and aerosolization. 25,27 The tear film disintegration process and aerosol generation were later confirmed computationally by a recent work of Zhou et al 61 The mechanics of NCT are, therefore, complex and include phenomena on various spatiotemporal scales. The measurement of the IOP depends on accurately estimating the applanation distance (distance between the tonometer nozzle exit and the cornea), flow field characteristics of the incoming jet, corneal elastic properties, and the aqueous humour.…”
Section: Introductionmentioning
confidence: 84%
“…Further, in our recent study, we also deciphered the mechanism of tear film destabilization that leads to droplet generation and possibly a pathogen transmission mechanism through the corneal tear film disintegration and aerosolization. 25,27 The tear film disintegration process and aerosol generation were later confirmed computationally by a recent work of Zhou et al 61 The mechanics of NCT are, therefore, complex and include phenomena on various spatiotemporal scales. The measurement of the IOP depends on accurately estimating the applanation distance (distance between the tonometer nozzle exit and the cornea), flow field characteristics of the incoming jet, corneal elastic properties, and the aqueous humour.…”
Section: Introductionmentioning
confidence: 84%
“…The coupled continuity and momentum equations were solved using the pressure implicit with the splitting of the operator method. At each computing step, the time step t is automatically adjusted based on the Courant-Friedrichs-Lewy condition, where the maximum Courant number Co is set as 0.5 (Zhou et al 2022). To manage the substantial computational cost associated with solving the N-S equations together with the VOF method, we focused our simulations on a reduced 3-D domain, specifically a 1/4 × 1/4 portion of the original microfluidic chip.…”
Section: Experimental Set-up and Proceduresmentioning
confidence: 99%