Simultaneous examination of tear film break-up and the lipid layer of the human eye: a novel sensor design (Part 1).

This article presents a non-invasive sensor setup for objective analysis of the pre-corneal human tear-film involving a time-resolved videokeratoscopy and simultaneous imaging of the lipid layer of the tear-film by a second CMOS-camera. This paper describes in detail the mechanical and optical design of the sensor setup, the realization of the entire illumination component with an integrated Placido grid projection, and the calculation of the image formation using the Placido grid. This concept is demonstrated here with a test subject in the full inter-blink period. All images were taken under physiological conditions. The sensor can assist the ophthalmologist in diagnosing Dry-Eye Syndrome. Results and other potential applications are discussed.

[1]  Xiaodong Zheng,et al.  A new method for tear film stability analysis using videokeratography. , 2003, American journal of ophthalmology.

[2]  A. Solomon,et al.  The Diagnosis and Management of Dry Eye: A Twenty-five–Year Review , 2000, Cornea.

[3]  Ulf Stenevi,et al.  An interferometric method for the dynamic evaluation of the tear film. , 2006, Acta ophthalmologica Scandinavica.

[4]  D. R. Iskander,et al.  Evaluating tear film stability in the human eye with high-speed videokeratoscopy , 2005, IEEE Transactions on Biomedical Engineering.

[5]  L S Mengher,et al.  A non-invasive instrument for clinical assessment of the pre-corneal tear film stability. , 1985, Current eye research.

[6]  Nikole L. Himebaugh,et al.  Use of Retroillumination to Visualize Optical Aberrations Caused by Tear Film Break-Up , 2003, Optometry and vision science : official publication of the American Academy of Optometry.

[7]  M. S. Almeida,et al.  Different schematic eyes and their accuracy to the in vivo eye: a quantitative comparison study , 2007 .

[8]  J. Tiffany Composition and biophysical properties of the tear film: knowledge and uncertainty. , 1994, Advances in experimental medicine and biology.

[9]  Lothar Müller,et al.  Bilddiagnostik der Netzhaut mit der Funduskamera , 2007 .

[10]  Lothar Müller,et al.  [Image diagnostic of the retina with fundus cameras]. , 2007, Zeitschrift fur medizinische Physik.

[11]  A. Bron,et al.  Reflective meniscometry: a new field of dry eye assessment. , 2000, Cornea.

[12]  Geunyoung Yoon,et al.  Changes in aberrations and retinal image quality due to tear film dynamics. , 2006, Optics express.

[14]  Christophe Baudouin,et al.  The definition and classification of dry eye disease: report of the Definition and Classification Subcommittee of the International Dry Eye WorkShop (2007). , 2007, The ocular surface.

[15]  P. King-Smith,et al.  Three interferometric methods for measuring the thickness of layers of the tear film. , 1999, Optometry and vision science : official publication of the American Academy of Optometry.