“…The human tear film is a complex three-layered structure comprising an outermost lipid layer, an aqueous layer and a mucus gel layer 22 . The lipid layer mainly consist of cholesterol esters, and ester waxes; the aqueous layer mainly contains water (99%), proteins (lysozyme, lactoferrin, lipocalin, secretory IgA), electrolytes (Na + , K + , Cl - , HCO - , Mg 2+ , Ca 2+ ), and small molecules (ascorbic acid, glucose, lactate, uric acid and sialic acid) 23 24 25 26 27 . The main component of the mucus layer is mucin, which in turn is characterized by a polymeric assembly of units forming linear polyanionic molecules.…”