A thin layer of tears covers the ocular surface. The tears are a complex fluid comprised of secretions from a number of sources including the lacrimal gland, goblet cells, cornea, and vascular sources. The tear film provides an optically smooth surface for focusing light onto the retina as well as lubrication, prevention of dehydration of the mucosal surface, protection against pathogens, and nutrition for the underlying corneal and conjunctiva epithelial cells [1]. The tears contain thousands of molecules including proteins/peptides, lipids, electrolytes, and small molecule metabolites secreted from the main and accessory lacrimal glands, meibomian glands, goblet cells, and ocular surface epithelial cells [1]. The updated three-layer model of tear film consists of an outer lipid layer (outer nonpolar lipid sub-layer and inner polar lipid sub-layer with intercalated proteins), a middle aqueous layer, and an inner mucin layer with molecular interactions with the membranes of the corneal and conjunctival epithelial cells. In healthy eyes, the thickness of the tear film is around 5 µm [2] and the volume is about 5-10 µl [1].Despite the small volume for sampling, tear fluid offers several advantages for biochemical analysis. Tears are usually collected noninvasively using Schirmer's strips, other absorbent materials, or fire-polished microcapillary tubes. However, care must be taken not to activate the corneal nerves and induce reflex tears as there is a dramatic difference in the tear protein profile between the two, with reflex tending to be more dilute than basal tears [1]. Tears can be easily obtained from healthy subjects, which is often required as a control group for 'Omics' studies, whereas other ocular fluids (i.e. aqueous humor and vitreous) are not feasible for collection from healthy people. The biggest advantage is that tears are close to the disease site (for instance, ocular surface disease, lacrimal gland disease, etc.) as compared to detecting cancer biomarkers in blood, where biomarker molecules are highly diluted. The total protein concentration of human tears ranges from 6 to 11 mg/ml. Lysozyme, the most abundant tear protein, is approximately 1-mg/ml. Unlike plasma, depletion of abundant tear proteins such as albumin is not necessary and good quality tear proteome coverage can be obtained. This simplifies sample preparation without worrying about the possible loss of tear proteins during the depletion process.Over the past decade, advances in mass spectrometry (MS) and proteomics/metabolomics/lipidomics/glycomics technology CONTACT Lei Zhou