Evidence map›Paper›PMID 39042697›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2024

Elucidating the roles of electrolytes and hydrogen bonding in the dewetting dynamics of the tear film.

Suraj Borkar, Philipp Baumli, Travis Vance, Ekta Sharma, Xinfeng Shi, James Y Wu, George Yao, David Myung, Gerald G Fuller

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Self-Propelled HPB@Lip@AB Nanomotors Ameliorate Dry Eye Disease.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. A Droplet Evaporimeter for Evaluating Eye Care Formulations.Translational vision science & technology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Suraj BorkarDepartment of Chemical Engineering, Stanford University, Stanford, CA 94305.ORCID 0000-0001-8863-0477
Philipp BaumliAlcon Research, Limited Liability Company, Fort Worth, TX 76134.
Travis VanceDepartment of Chemical Engineering, Stanford University, Stanford, CA 94305.
Ekta SharmaDepartment of Chemical Engineering, Stanford University, Stanford, CA 94305.ORCID 0009-0008-1419-4703
Xinfeng ShiAlcon Research, Limited Liability Company, Fort Worth, TX 76134.ORCID 0000-0003-2987-9496
James Y WuAlcon Research, Limited Liability Company, Fort Worth, TX 76134.ORCID 0000-0002-9540-7182
George YaoAlcon Research, Limited Liability Company, Fort Worth, TX 76134.
David MyungDepartment of Chemical Engineering, Stanford University, Stanford, CA 94305.
Gerald G FullerDepartment of Chemical Engineering, Stanford University, Stanford, CA 94305.ORCID 0000-0002-2924-053X

Funding

Stanford Vision Research CoreP30EY026877 · NEI · STANFORD UNIVERSITY · PI Jeffrey L Goldberg · 2017 to 2026
$8.0M
Alcon Foundation (The Alcon Foundation) 265655NEI NIH HHS P30 EY026877
6 · The paper itself

Abstract

This study explores the impact of electrostatic interactions and hydrogen bonding on tear film stability, a crucial factor for ocular surface health. While mucosal and meibomian layers have been extensively studied, the role of electrolytes in the aqueous phase remains unclear. Dry eye syndrome, characterized by insufficient tear quantity or quality, is associated with hyperosmolality, making electrolyte composition an important factor that might impact tear stability. Using a model buffer solution on a silica glass dome, we simulated physiologically relevant tear film conditions. Sodium chloride alone induced premature dewetting through salt crystal nucleation. In contrast, trace amounts of solutes with hydroxyl groups (sodium phosphate dibasic, potassium phosphate monobasic, and glucose) exhibited intriguing phenomena: quasi-stable films, solutal Marangoni-driven fluid influx increasing film thickness, and viscous fingering due to Saffman-Taylor instability. These observations are rationalized by the association of salt solutions with increased surface tension and the propensity of hydroxyl-group-containing solutes to engage in significant hydrogen bonding, altering local viscosity. This creates a viscosity contrast between the bulk buffer solution and the film region. Moreover, these solutes shield the glass dome, counteracting sodium chloride crystallization. These insights not only advance our understanding of tear film mechanics but also pave the way for predictive diagnostics in dry eye syndrome, offering a robust platform for personalized medical interventions based on individual tear film composition.

Indexed as

ElectrolytesHydrogen BondingTearsDry Eye SyndromesHumansPhosphatesPotassium CompoundsSodium ChlorideStatic ElectricitySurface TensionViscosityWettabilityElectrolytesPhosphatesPotassium Compoundspotassium phosphateSodium Chloridesodium phosphateelectrolytesfluid mechanicsinstabilityMarangoni flowstear film

Identifiers

PMID39042697
PMCPMC11295001

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.