2008
DOI: 10.1167/iovs.07-0635
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Dry Eye Diagnosis

Abstract: Tear osmolarity is the best single test for the diagnosis of dry eye, whereas a battery of tests employing a weighted comparison of TTR, evaporation, and osmolarity measurements derived from discriminant function analysis is the most effective.

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Cited by 141 publications
(107 citation statements)
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“…This TFSQ indicator has shown good performance to discriminate dry eye from normal tear film subjects and it performs similarly to other well established methods based on different principles, such as osmolarity 29 or tear turnover rate. 6 Also, our technique provides similar results to those reported by Mengher et al 8 who used a subjective assessment of the reflected Placido pattern to obtain tear film break-up time. The limited discrimination performance of any single method highlights the complexity of diagnosing dry eye syndrome.…”
Section: Summary and Discussionsupporting
confidence: 78%
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“…This TFSQ indicator has shown good performance to discriminate dry eye from normal tear film subjects and it performs similarly to other well established methods based on different principles, such as osmolarity 29 or tear turnover rate. 6 Also, our technique provides similar results to those reported by Mengher et al 8 who used a subjective assessment of the reflected Placido pattern to obtain tear film break-up time. The limited discrimination performance of any single method highlights the complexity of diagnosing dry eye syndrome.…”
Section: Summary and Discussionsupporting
confidence: 78%
“…After excluding the first second, in NBC only the first three seconds of interblink interval recording were considered while for the SBC, an 8 s recording was used. Receiver operating characteristics (ROC) curves, which determine the sensitivity and specificity of the measurement in diagnosing dry eye, 6 were calculated to show the capability of the two considered TFSQ indicators to discriminate dry eye from normal tear film subjects. To arrive at the best possible detection performance for the noninvasive test, a group of ROC curves were evaluated at different sampling intervals.…”
Section: Clinical Study 41 Protocolmentioning
confidence: 99%
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“…Regardless of the initial stimulus, there is an inflammatory vicious circle on the ocular surface, leading to gradual dysfunction of secretion or tear retention. What is not clear is whether, with so many different mechanisms and even without inflammation in the initial stages, there would be a common diagnostic examination with a similar cutoff value in different disease groups, and what would be the correlation of this parameter with others used in clinical practice and its limitations (26) .Furthermore, we do not today have curing measures to reverse dry eye, only chronic and palliative treatments (27) .Faced by these doubts, it becomes necessary to improve animal models for the study of the disease and to improve knowledge of the disease mechanisms and definitive therapeutic strategies.…”
Section: Introductionmentioning
confidence: 99%
“…Based on OSDI score, the ocular surface is defined as normal (0-12), mild (13)(14)(15)(16)(17)(18)(19)(20)(21)(22), moderate (23)(24)(25)(26)(27)(28)(29)(30)(31)(32), or severe (33-100) [44]. It is noteworthy that although the OSDI is not routinely used in clinical practice, it has been shown to be valid and reliable to quantify the impact of dry eye on the quality of life [44].…”
Section: Discussionmentioning
confidence: 99%