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Strip Meniscometry Correlates With Ocular Surface Tests and Symptoms
Kazuno Negishi1, Masahiko Ayaki1,2, Miki Uchino1
1Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
Translational Vision Science & Technology
|December 2, 2020
Summary
Tear strip meniscometry (SM) correlates with dry eye disease symptoms and tear breakup time, unlike the Schirmer test (ST). SM may serve as a valuable clinical tool for assessing tear film function.
Area of Science:
- Ophthalmology
- Tear Film Research
- Dry Eye Disease Diagnostics
Background:
- Dry eye disease (DED) significantly impacts quality of life.
- Accurate assessment of tear function is crucial for effective DED management.
- Existing diagnostic methods like the Schirmer test (ST) have limitations.
Purpose of the Study:
- To investigate the association between DED-related signs and symptoms and two tear function tests: Schirmer test (ST) and tear strip meniscometry (SM).
- To evaluate the clinical utility of SM in comparison to ST for DED assessment.
Main Methods:
- A cross-sectional study involving 210 outpatients.
- Measurements included Schirmer test (ST), tear strip meniscometry (SM), fluorescein tear breakup time, and corneal staining.
- Seven subjective DED symptoms were assessed via interview.
Main Results:
- Tear strip meniscometry (SM) values correlated with DED-related symptoms (irritation, photophobia) and tear breakup time.
- Schirmer test (ST) values did not show significant correlation with DED signs and symptoms.
- ST and SM values were strongly correlated with each other.
Conclusions:
- Tear strip meniscometry (SM) is a useful, noninvasive test associated with DED symptoms and tear film quality.
- SM may serve as a valuable alternative or complementary parameter for guiding tear film-oriented therapy in DED patients.
- SM's quick, noninvasive nature makes it suitable for routine clinical use.

