Sirius Corneal Topographer: Clinical Tear Testing vs. Noninvasive Methods

Authors

Keywords:

ojo seco, topógrafo corneal Sirius, dermatochalasis, estabilidad de la película lagrimal, tiempo de ruptura no invasivo

Abstract

Objective: To investigate how noninvasive dry eye assessment using the Sirius corneal topographer integrates into a comprehensive diagnostic protocol for patients with dermatochalasis to optimize preoperative management prior to upper blepharoplasty surgery.

Methods: An observational, descriptive, cross-sectional study was performed with 34 patients. The Sirius corneal topographer was used to measure tear film stability and meibomian gland loss, and the results were compared with the Schirmer I test and fluorescein breakup time.

Results: A statistically significant correlation was found between noninvasive breakup time measurements with Sirius and fluorescein breakup time, as well as with the Schirmer I test, thus demonstrating the usefulness of Sirius in the accurate assessment of tear film stability.

Conclusions: The integration of the Sirius in the diagnostic evaluation of dry eye provides an accurate tool for the detection of tear dysfunction, essential for the effective clinical management of patients with bilateral upper dermatochalasis prior to blepharoplasty surgery. The importance of adopting advanced diagnostic technologies to optimize preoperative care and improve surgical outcomes is emphasized.

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Author Biography

Runnier Castillo Nuñez, Instituto Cubano de Oftalmología Ramón Pando Ferrer. La Habana

Especialista en Primer Grado de Oftalmología

References

Tsubota K, Pflugfelder SC, Liu Z, Baudouin C, Kim HM, Messmer EM, et al. Defining dry eye from a clinical perspective. Int J Mol Sci. 2020;21(23):9271. DOI: 10.3390/ijms21239271

Craig JP, Nelson JD, Azar DT, Belmonte C, Bron AJ, Chauhan SK, et al. TFOS DEWS II report executive summary. Ocul Surf. 2017;15(4):802-12. DOI: 10.1016/j.jtos.2017.08.003

Kitazawa K, Inomata T, Shih K, Hughes JWB, Bozza N, Tomioka Y, et al. Impact of aging on the pathophysiology of dry eye disease: A systematic review and meta-analysis. Ocul Surf. 2022;25:108-18. DOI: 10.1016/j.jtos.2022.06.004

Itokawa T, Suzuki T, Koh S, Hori Y. Evaluating the Differences Between Fluorescein Tear Break-up Time and Noninvasive Measurement Techniques. Eye Contact Lens. 2023;49(3):104-9. DOI: 10.1097/ICL.0000000000000966

Al-Mohtaseb Z, Schachter S, Shen Lee B, Garlich J, Trattler W. The relationship between dry eye disease and digital screen use. Clin Ophthalmol. 2021;3811-20. DOI: 10.2147/OPTH.S321591

Bandlitz S, Peter B, Pflugi T, Jaeger K, Anwar A, Bikhu P, et al. Agreement and repeatability of four different devices to measure non-invasive tear breakup time (NIBUT). Contact Lens Anterior Eye. 2020;43(5):507-11. DOI: 10.1016/j.clae.2020.02.018

Hernández Silva R. Facoemulsificación. 1era ed. La Habana, Cuba: Editorial de Ciencias Médicas; 2022 [acceso 10/10/2023]. 678 p. (Oftalmología). Disponible en: http://www.bvscuba.sld.cu/libro/facoemulsificacion

Fattoh R, Mounir A, Anbar M, Mohammed OA. Changes in noncontact meibography and noninvasive tear break-up time test with contact lenses usage. Clin Ophthalmol. 2022;1427-37. DOI: 10.2147/OPTH.S362307

Wu WL, Chang SW. Dermatochalasis aggravates meibomian gland dysfunction related dry eyes. J Clin Med. 2022;11(9):2379. DOI: 10.3390/jcm11092379

Sharif F, Akram SN, Sharif H, Khalid R, Chughtai AS, Chaudhary MA. Efficacy of Schirmer’s Test I and Tear Break Up-Time (TBUT) test among Patients of Type II Diabetes with Dry Eye. Pak J Med Health Sci. 2022;16(09):595-595. DOI: 10.53350/pjmhs22169595

World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Jama. 2013;310(20):2191-4. DOI: 10.1001/jama.2013.281053

Morandín-Ahuerma F. Diez recomendaciones de la Unesco sobre ética de la inteligencia artificial. En: Principios normativos para una ética de la inteligencia artificial. Teziutlán, Puebla: CONCYTEP; 2023 [acceso 10/10/2023]. p. 86-94. Disponible en: https://concytep.gob.mx/publicaciones/libro-c-l-2023-09-131-principios-normativos-para-una-etica-de-la-inteligencia-artificial#1

Wolffsohn JS, Wang MT, Vidal-Rohr M, Menduni F, Dhallu S, Ipek T, et al. Demographic and lifestyle risk factors of dry eye disease subtypes: a cross-sectional study. Ocul Surf. 2021;21:58-63. DOI: 10.1016/j.jtos.2021.05.001

Yamanishi R, Uchino M, Kawashima M, Uchino Y, Yokoi N, Tsubota K. Characteristics of individuals with dry eye symptoms without clinical diagnosis: Analysis of a web-based survey. J Clin Med. 2019;8(5):721. DOI: 10.3390/jcm8050721

Smith Diburnet M, Pérez Ruiz AC, Galán Ávila E, Duperet Carvajal D, Pérez Infante Y. Características epidemiológicas, clínicas y oftalmológicas de pacientes con queratoconjuntivitis seca. MEDISAN. 2021 [acceso 10/10/2023];25(6):1351-60. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192021000601351&lng=es

Wróbel-Dudzińska D, Osial N, Stępień PW, Gorecka A, Żarnowski T. Prevalence of dry eye symptoms and associated risk factors among university students in Poland. Int J Environ Res Public Health. 2023;20(2):1313. DOI: 10.3390/ijerph20021313

Posa A, Sel S, Dietz R, Sander R, Paulsen F, Bräuer L, et al. Historical Profiling of Dry Eye Patients–Potential Trigger Factors and Comorbidities. Klin Monatsblätter Für Augenheilkd. 2024;241(01):110-8. DOI: 10.1055/a-2004-8845

Balıkçı AT, Ulutaş HG, Özgen GA. Evaluation of meibomian gland morphology and anterior segment parameters by Sirius topography systems in polycystic ovary syndrome. Indian J Ophthalmol. 2022;70(8):2922-8. DOI: 10.1055/a-2004-8845

Kamil Z. Hypertension and dry eye. J Surg Pak. 2020 [acceso 10/10/2023];25(3):127-30. Disponible en: http://jsp.org.pk/index.php/jsp/article/view/211

Lamba BM, Alhassan MB, Galadima CF, Umar MM. A Comparative Study of Dry Eye Disease in Diabetics and Non-Diabetic Population at National Eye Centre, Kaduna. Saudi J Med. 2023;8(5):261-8. DOI: 10.36348/sjm.2023.v08i05.012

Garg P, Gupta A, Tandon N, Raj P. Dry eye disease after cataract surgery: study of its determinants and risk factors. Turk J Ophthalmol. 2020;50(3):133. DOI: 10.4274/tjo.galenos.2019.45538

Kruthika S, Usha B. Effect of manual small incision cataract surgery on pre-corneal tear film at a tertiary care centre. Indian J Clin Exp Ophthalmol. 2023;9(2):145-50. DOI: 10.18231/j.ijceo.2023.029

Youssef AA, Alahmadawy YA, Elmekkawy HE, Abdelrahman AM. Schirmer’s test and tear breakup time in an Egyptian population sample: A hospital-based study. Delta J Ophthalmol. 2020;21(1):6-13. DOI: 10.4103/DJO.DJO_37_19

Acet Y. Topographic tear film trend and new parameters for non-invasive break up time test. Int J Ophthalmol. 2022;15(12):1932. DOI: 10.18240/ijo.2022.12.06

Sevim DG, Gumus K, Unlu M. Reliable, noncontact imaging tool for the evaluation of meibomian gland function: Sirius meibography. Eye Contact Lens. 2020;46:S135-40. DOI: 10.1097/ICL.0000000000000651

Ozulken K, Aksoy Aydemir G, Tekin K, Mumcuoğlu T. Correlation of non-invasive tear break-up time with tear osmolarity and other invasive tear function tests. En Taylor & Francis; 2020. p. 78-85. DOI: 10.1080/08820538.2020.1730916

Published

2025-02-10

How to Cite

1.
Castillo Nuñez R, Queupumil Rodríguez A, Rojas Rondón I, Batista Peña M, Veraztica Ramos KP. Sirius Corneal Topographer: Clinical Tear Testing vs. Noninvasive Methods. Rev Cubana Oftalmol [Internet]. 2025 Feb. 10 [cited 2025 Oct. 9];38. Available from: https://revoftalmologia.sld.cu/index.php/oftalmologia/article/view/1871

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Section

Investigaciones