Evidence map›Paper›PMID 22789918›Full record

ArticleInvestigative ophthalmology & visual science2012

The use of fluorescent quenching in studying the contribution of evaporation to tear thinning.

Jason J Nichols, P Ewen King-Smith, Erich A Hinel, Miru Thangavelu, Kelly K Nichols

Open access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Tear Clearance Rate Assessment with a Modified Slit Lamp Biomicroscope.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  3. A Droplet Evaporimeter for Evaluating Eye Care Formulations.Translational vision science & technology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Changes in Corneal Detection Thresholds After Repeated Tear Film Instability.Investigative ophthalmology & visual science · 2019
    Article
  9. Dynamics of Fluorescent Imaging for Rapid Tear Thinning.Bulletin of mathematical biology · 2019
    Article
  10. On tear film breakup (TBU): dynamics and imaging.Mathematical medicine and biology : a journal of the IMA · 2018
    Article
  11. Review
  12. Article
  13. Computed tear film and osmolarity dynamics on an eye-shaped domain.Mathematical medicine and biology : a journal of the IMA · 2016
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. A model for tear film thinning with osmolarity and fluorescein.Investigative ophthalmology & visual science · 2014
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Jason J NicholsCollege of Optometry, University of Houston, Houston, TX 77204, USA. jnichols@optometry.uh.edu
P Ewen King-Smith
Erich A Hinel
Miru Thangavelu
Kelly K Nichols
University of Houston · USCincinnati Eye Institute · USThe Ohio State University · USUniversity of Waterloo · CA

Funding

Dry Eye in PostmenopauseR01EY015519 · NEI · UNIVERSITY OF HOUSTON · PI NICHOLS, KELLY K · 2007 to 2011
$1.7M
Interferometric Studies of the Fluid Dynamics of the Tear FilmR01EY017951 · NEI · OHIO STATE UNIVERSITY · PI KING-SMITH, PETER E · 2009 to 2012
$1.2M
NEI NIH HHS EY0015519NEI NIH HHS EY017951NEI NIH HHS R01 EY015519NEI NIH HHS R01 EY017951
6 · The paper itself

Abstract

purposeThe purpose of our study was to test the prediction that if the tear film thins due to evaporation, rather than tangential flow, a high concentration of fluorescein in the tear film would show a greater reduction in fluorescent intensity compared to a low concentration of fluorescein due to self-quenching at high concentrations.

methodsTear film thickness, thinning rate, and fluorescent intensity were measured continuously and simultaneously with a modified spectral interferometer in 30 healthy subjects with two different concentrations (2% followed by 10%) of 1 μL of liquid fluorescein on the eye. Measurements of fluorescein self-quenching (fluorescent efficiency as a function of fluorescein concentration) are described in an Appendix and are reported in arbitrary units.

resultsUnder low and high fluorescein concentration conditions, there were no differences in tear film thickness (P = 0.09) or thinning rates (P = 0.76). While the mean initial fluorescent intensity was similar between groups (637.47 ± 381.47 vs. 672.09 ± 649.72, P = 0.55), the mean rate of fluorescent decay was 4-fold faster in the high (16.57 ± 29.34) than in the low (4.11 ± 6.78) concentration group (P < 0.01).

conclusionsThe large difference in the rate of fluorescent decay between groups can be explained by the effects of evaporation and self quenching of fluorescein; the latter is expected to be greater for high than for low fluorescein concentration. Fluorescence decay due to tangential flow would be expected to be similar at high and low fluorescein concentrations. This supports previous evidence that evaporation has the primary role in normal tear thinning between blinks.

Indexed as

FluorescenceAdultCorneaFemaleFluoresceinFluorescent DyesHumansMaleTearsVolatilizationFluoresceinFluorescent Dyes

Identifiers

PMID22789918
PMCPMC3423665
OpenAlexW1970671257

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.