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Updated: Mar 7, 2026

In Vivo Confocal Microscopy in the Diagnosis and Management of Dry Eye: A Focus on Imaging Protocols and Interpretation
Published on: November 11, 2025
Comparison of noncontact infrared and remote sensor thermometry in normal and dry eye patients
1Guru Gobind Singh International Eye Research and Cure Centre, New Delhi - India.
Purpose:
To evaluate the role of closed chamber infrared and remote sensor thermometry in normal and dry eye patients.
Methods:
The study was conducted on 51 dry eye cases (102 eyes), 26 men and 25 women aged 19 to 65 years (35.3614.36), and 51 normal (102 eyes) age- and sex-matched control subjects. The criteria for dry eye were Schirm e r-1 (<10 m/5 min), FTBUT (<10 sec), nd lissamine green score (>2). The remote sensor and infrared thermometry was done in losed chamber around the eye in closed and open eye positions.
Results:
In normal eyes, closed chamber infrared thermometry recorded temperature 34.770.37 C in closed eye position and 35.020.39 C in open eye position as compared to 27.912.46 C in closed eye position and 28.012.46 C in open position with remote sensor thermometry. The difference in temperature from closed to open position was 0.250.90 C in infrared thermometry and 0.100.00 C with remote sensor thermometry, which was statistically significant (p<0.0000). In dry eye, the infrared therm o m e t ry recorded 35.080.61 C temperature in closed eye position and 35.530.63 C in open eye position as compared to 27.412.48 C in open and closed eye position with remote sensor thermometry. The difference in temperature from closed to open eye position was 0.450.14 C (p<0.0000) with infrared thermometry as compared to no change 0.000.00 C with remote sensor thermometry (p<0.0000).
Conclusions:
Remote sensor thermometry proved better for diagnosis of dry eye disease as it showed no change in temperature under closed chamber in closed and open position (p=0.0000). Infrared thermometry was better in recording the absolute temperature from any point on the eye.
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