Comparison of Tearscope-Plus versus Slit Lamp Measurements of Inferior Tear Meniscus Height in Normal Individuals

Fodor, Eszter; Hagyó, Krisztina; Resch, Miklós; Somodi, Dóra; Németh, János

doi:10.1177/112067211002000502

Cited by 26 publications

(18 citation statements)

References 20 publications

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“…9 To enhance visibility of the meniscus at the slit-lamp, and therefore the repeatability of TMH measurements, the use of a Tearscope has been recommended. 20 Alternatively, in measuring the TMR with reflective meniscometry there is no need to detect the upper limit of the meniscus. 21 Reflective meniscometry was suggested to be a useful surrogate for OCT measurements of TMR.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of tear meniscus height using different clinical methods

Niedernolte

Trunk

Wolffsohn

et al. 2021

Clinical and Experimental Optometry

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Section: Discussionmentioning

confidence: 99%

Evaluation of tear meniscus height using different clinical methods

Niedernolte

Trunk

Wolffsohn

et al. 2021

Clinical and Experimental Optometry

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“…Without such a device, the meniscus can also be measured by using a slit-lamp that is capable of measuring micrometers. Although lower tear meniscus height can be reliably measured by slit-lamp biomicroscopy without staining, measurements are more repeatable with Tearscope-Plus (Keeler Ltd, Windsor, UK) 52,53…”

Section: Current Methods Of Diagnosismentioning

confidence: 99%

Diagnosis of dry eye disease and emerging technologies

Zeev¹,

Miller²,

Latkany³

2014

OPTH

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Dry eye is one of the most commonly encountered problems in ophthalmology. Signs can include punctate epithelial erosions, hyperemia, low tear lakes, rapid tear break-up time, and meibomian gland disease. Current methods of diagnosis include a slit-lamp examination with and without different stains, including fluorescein, rose bengal, and lissamine green. Other methods are the Schirmer test, tear function index, tear break-up time, and functional visual acuity. Emerging technologies include meniscometry, optical coherence tomography, tear film stability analysis, interferometry, tear osmolarity, the tear film normalization test, ocular surface thermography, and tear biomarkers. Patient-specific considerations involve relevant history of autoimmune disease, refractive surgery or use of oral medications, and allergies or rosacea. Other patient considerations include clinical examination for lid margin disease and presence of lagophthalmos or blink abnormalities. Given a complex presentation and a variety of signs and symptoms, it would be beneficial if there was an inexpensive, readily available, and reproducible diagnostic test for dry eye.

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“…Additional methods for measuring LTMH include optical coherence tomography (OCT), fundus camera, and Tearscope ® (Keeler, Windsor, UK). Fodor et al found that there is no difference between the mean measured LTMH with Tearscope ®, slit lamp, and slit lamp with fluorescein, but the repeatability is better with the Tearscope ® device [ 28 ]. OCT is an imaging modality based on the quantity of reflected light from tissues; Wang et al stated that OCT is a multifaceted technique to measure LTMH because it provides a real-time, non-invasive, high-quality image, although the mean value can be higher than that obtained by the traditional methods and the repeatability of the measurement is unfavorable [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Reliability and clinical applicability of a novel tear film imaging tool

Tóth

Szalai

Rák

et al. 2021

Graefes Arch Clin Exp Ophthalmol

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Purpose The aim of our research was to investigate the reliability and clinical applicability of a modern tear film imaging tool by comparing the inter- and intragrader difference. The further goal was to compare the non-invasive tear break-up time (NIBUT) measured with the LacryDiag® device with traditional tear film break-up time (TBUT). Methods Comprehensive ophthalmological examination was performed, including LacryDiag® (Quantel Medical, France) (lower tear meniscus height measuring (LTMH), superior and inferior eyelid meibography (MeibS MeibI), interferometry (INT), NIBUT), slit lamp examination, and TBUT. Two independent, well-trained graders selected and analyzed the LTMH, MeibI, MeibS, and INT. The second grader reanalyzed the data 1 month later. Intra- and inter-examiner reliabilities were evaluated using intraclass correlation coefficients (ICC), while for categorical variable, Cohen’s kappa statistics were provided. The Bland-Altman plot was used for visualization of the agreement between measurements. Results Fifty healthy volunteers were examined. For LTMH both the inter- and intragrader variabilities were excellent. Between two graders, the ICC of MeibI was poor; however, between two graders, the ICC of MeibS was good, and the intragrader variability in MeibI and MeibS was excellent. For the INT, both intra- and intergrading were in fair and moderate agreement, although the intragrader agreement was higher. Comparing the NIBUT and TBUT, the agreement was slight. Conclusion Based on our results, examination of a patient during follow-up should be performed by the same examiner, because of the slight agreement. The LacryDiag® is a non-invasive, easy-to-use device, which can examine the tear film and save the recordings for easier follow-up.

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Comparison of Tearscope-Plus versus Slit Lamp Measurements of Inferior Tear Meniscus Height in Normal Individuals

Abstract: The LTMH could be reliably measured with slit-lamp biomicroscopy without staining, but the measurements were more repeatable with Tearscope.

Cited by 26 publications

References 20 publications

Evaluation of tear meniscus height using different clinical methods

Evaluation of tear meniscus height using different clinical methods

Diagnosis of dry eye disease and emerging technologies

Reliability and clinical applicability of a novel tear film imaging tool

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