Tear film break-up time evaluated by real-time Hartmann-Shack wavefront sensing

  • Toshifumi Mihashi
  • , Yoko Hirohara
  • , Shizuka Koh
  • , Sayuri Ninomiya
  • , Naoyuki Maeda
  • , Takashi Fujikado

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Purpose: To develop a novel method for measuring tear break-up time (BUT) by continuously measuring higher order wavefront aberrations using a Hartmann-Shack (H-S) aberrometer. Methods: Wavefront aberrations up to the sixth order for a 4-mm pupil were measured in six eyes of six normal subjects using an H-S aberrometer. The aberrometry was performed once every second for up to 50s under topical anesthesia. The sequence of the points was divided into two stages, and the BUT was defined as the wavefront border of the stages (WFBUT). The WFBUT was compared with the BUT by the conventional fluorescein method (FLBUT) or by the disruption of placid-ring images (PLBUT). Results: In three eyes, the WFBUT (average, 10.9 ± 1.1s) was shorter than the PLBUT (average, 17.5 ± 2.5s), while in the other three eyes the WFBUT (average, 21.5 ± 2.2s) was longer than PLBUT (average, 8.1 ± 2.2s). The FLBUT was shorter than WFBUT or PLBUT in most cases. Conclusions: The tear break-up time measured by H-S aberrometer may be used as a practical measure of tear break-up.

Original languageEnglish
Pages (from-to)85-89
Number of pages5
JournalJapanese Journal of Ophthalmology
Volume50
Issue number2
DOIs
StatePublished - Apr 2006
Externally publishedYes

Keywords

  • Aberration
  • Break-up time
  • Hartmann-Shack aberrometer
  • Tear film

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