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1.
PLoS One ; 17(9): e0274677, 2022.
Article in English | MEDLINE | ID: mdl-36178887

ABSTRACT

To meet the future challenges and foster integrated and holistic research approaches in agricultural sciences, new and sustainable methods in research data management (RDM) are needed. The involvement of scientific users is a critical success factor for their development. We conducted an online survey in 2020 among different user groups in agricultural sciences about their RDM practices and needs. In total, the questionnaire contained 52 questions on information about produced and (re-)used data, data quality aspects, information about the use of standards, publication practices and legal aspects of agricultural research data, the current situation in RDM in regards to awareness, consulting and curricula as well as needs of the agricultural community in respect to future developments. We received 196 (partially) completed questionnaires from data providers, data users, infrastructure and information service providers. In addition to the diversity in the research data landscape of agricultural sciences in Germany, the study reveals challenges, deficits and uncertainties in handling research data in agricultural sciences standing in the way of access and efficient reuse of valuable research data. However, the study also suggests and discusses potential solutions to enhance data publications, facilitate and secure data re-use, ensure data quality and develop services (i.e. training, support and bundling services). Therefore, our research article provides the basis for the development of common RDM, future infrastructures and services needed to foster the cultural change in handling research data across agricultural sciences in Germany and beyond.


Subject(s)
Curriculum , Data Management , Agriculture , Germany
2.
Cont Lens Anterior Eye ; 45(6): 101593, 2022 12.
Article in English | MEDLINE | ID: mdl-35431131

ABSTRACT

PURPOSE: To examine the effects of long-term ultraviolet radiation (UVR) blocking wearing contact lenses on ocular surface health, eye focus and macular pigment. METHOD: 210 pre-presbyopic patients were recruited from Birmingham UK, Brisbane Australia, Hong Kong China, Houston USA and Waterloo Canada (n = 42 at each site). All patients had worn contact lenses for ≥ 5 years, half (test group) of a material incorporating a UVR-blocking filter. Ocular health was assessed using slit-lamp biomicroscopy and UV autofluorescence. Accommodation was measured subjectively with a push-up test and overcoming lens-induced defocus. Objective stimulus response and dynamic measures of the accommodative response were quantified with an open-field aberrometer. Macular pigment optical density (MPOD) was assessed using heterochromatic flicker photometry (MPS II). RESULTS: The two groups of participants were matched for age, sex, race, body-mass-index, diet, lifestyle, UVR exposure, refractive error and visual acuity. Limbal (p = 0.035), but not bulbar conjunctival redness (p = 0.903) was lower in eyes that had worn UVR-blocking contact lenses compared to controls. The subjective (8.0 ± 3.7D vs 7.3 ± 3.3D; p = 0.125) and objective (F = 1.255, p = 0.285) accommodative response was higher in the test group, but the differences did not reach significance. However, the accommodative latency was shorter in eyes that had worn UVR-blocking contact lenses (p = 0.003). There was no significant different in MPOD with UVR filtration (p = 0.869). CONCLUSIONS: Blocking the transmission of UVR is beneficial in maintaining the eye's ability to focus, suggesting that presbyopia maybe delayed in long-term UVR-blocking contact lenses wearers. These lenses also provide protection to the critical limbal region.


Subject(s)
Contact Lenses , Macular Pigment , Radiation Protection , Humans , Ultraviolet Rays , Eye/radiation effects
3.
Cont Lens Anterior Eye ; 41(1): 110-116, 2018 02.
Article in English | MEDLINE | ID: mdl-28939265

ABSTRACT

PURPOSE: Contact lens discomfort remains poorly understood, not least due to lack of associations between clinical signs and symptoms. This study aimed to explore the relationships between osmolarity, comfort and lid wiper epitheliopathy in contact lens wear. METHODS: Twenty subjects participated in a randomized, cross-over study where comfilcon A and lotrafilcon A lenses were each worn for 10days separated by a 7days washout period. Tear and contact lens osmolarity, ocular symptoms including comfort, tear stability and production, and lid wiper epitheliopathy were measured. RESULTS: Comfort and tear stability decreased and upper lid wiper staining and foreign body sensation increased with lens wear. These were not affected by lens type. A reduction in tear production was seen after 10days of comfilcon A lens wear. High proportions of lid wiper epitheliopathy were observed at the upper (range 65%-85%) and lower (range 90%-100%) lid margins. Tear and contact lens osmolarity were unaffected by lens wear or type. Contact lens osmolarity was associated with comfort (r=0.45, p=0.009). Tear osmolarity moderately correlated with tear stability (r=-0.53, p=0.014) and tear production (r=-0.44, p=0.012) but not with lid wiper staining. CONCLUSIONS: A relationship between comfort and contact lens osmolarity and between tear osmolarity and tear stability and production were found, however, this study was unable to demonstrate an association between comfort and tear osmolarity or lid wiper epitheliopathy. Further studies using contact lenses with a wider range of comfort responses are warranted to investigate these associations further.


Subject(s)
Contact Lenses, Hydrophilic , Eyelid Diseases/therapy , Eyelids/diagnostic imaging , Hydrogels , Silicones , Tears/chemistry , Adult , Cross-Over Studies , Eyelid Diseases/diagnosis , Eyelid Diseases/metabolism , Female , Follow-Up Studies , Humans , Male , Osmolar Concentration , Prospective Studies
4.
Cont Lens Anterior Eye ; 41(1): 23-27, 2018 02.
Article in English | MEDLINE | ID: mdl-29169916

ABSTRACT

PURPOSE: To investigate the performance of lissamine green strips from different manufacturers. Additionally, the repeatability, need for sequential dye instillation and impact of repeated lid evertion on lid wiper staining were assessed. METHODS: Study 1 was a prospective, randomised cross-over study where controlled volumes of lissamine green solution prepared from strips (Biotech, Lissaver, GreenGlo, OPGreen) were instilled (right eye: single; left eye: double instillation) on five different days, with OPGreen being tested twice. Lids were everted and digital photographs taken, which were later assessed by a masked observer. Study 2 was an investigator-masked, randomised, controlled study testing the impact of single versus repeated lid evertion. Lid wiper staining was graded (0 to 3 in 0.5 steps). RESULTS: Lid wiper staining differed significantly between lissamine green solutions, with GreenGlo showing the highest amount of staining, and Lissaver the least (all p>0.009). There were no differences in lid wiper staining over two days, using the OPGreen solution (all p>0.05). The number of drops instilled (single versus double) did not significantly affect lid wiper staining (all p>0.05). Repeated lid evertion increased lid wiper staining (p=0.007 when combined with double drop instillation). Light absorbance patterns and measured concentrations aligned with clinical findings. CONCLUSION: There were significant differences in performance between lissamine green solutions. Lid wiper staining was impacted by repeated lid evertion but sequential instillation and use of the Korb grading scale provided little advantage over simpler methods Clinicians must consider this when investigating lid wipers, especially when interpreting a negative finding.


Subject(s)
Corneal Diseases/diagnosis , Epithelium, Corneal/pathology , Eyelid Diseases/diagnosis , Eyelids/pathology , Lissamine Green Dyes/pharmacology , Adult , Coloring Agents/pharmacology , Cross-Over Studies , Female , Humans , Male , Ophthalmic Solutions , Prospective Studies , Reproducibility of Results
5.
Ocul Surf ; 15(3): 366-403, 2017 07.
Article in English | MEDLINE | ID: mdl-28736338

ABSTRACT

The members of the Tear Film Subcommittee reviewed the role of the tear film in dry eye disease (DED). The Subcommittee reviewed biophysical and biochemical aspects of tears and how these change in DED. Clinically, DED is characterized by loss of tear volume, more rapid breakup of the tear film and increased evaporation of tears from the ocular surface. The tear film is composed of many substances including lipids, proteins, mucins and electrolytes. All of these contribute to the integrity of the tear film but exactly how they interact is still an area of active research. Tear film osmolarity increases in DED. Changes to other components such as proteins and mucins can be used as biomarkers for DED. The Subcommittee recommended areas for future research to advance our understanding of the tear film and how this changes with DED. The final report was written after review by all Subcommittee members and the entire TFOS DEWS II membership.


Subject(s)
Tears , Dry Eye Syndromes , Eye , Humans , Keratoconjunctivitis Sicca , Osmolar Concentration
6.
Optom Vis Sci ; 93(8): 861-71, 2016 08.
Article in English | MEDLINE | ID: mdl-27362613

ABSTRACT

PURPOSE: To assess the impact of lens-free intervals of varying lengths on end-of-day comfort with soft contact lenses. METHODS: Twenty-five symptomatic lens wearers participated in this randomized, cross-over study involving nine individual 12-hour days: one spectacle (no lens) and eight lens wear days. On each lens wear day, lenses were worn bilaterally in 2-hour intervals, separated by lens-free (recovery) periods of 0, 30, 60, or 80 minutes (repeated throughout the day). For each 2-hour lens wear interval, new lenses were worn. Ocular comfort was rated on a 0 to 100 visual analogue scale (0 = extremely uncomfortable); tear film and ocular parameters were assessed at the beginning and end of each study day. This study involved two different types of silicone hydrogel lenses, and the order of lens type and length of recovery period was randomized. Participants were unaware of the true study purpose and that a new lens pair was used for each lens wear interval. RESULTS: End-of-day comfort on lens wear days was significantly worse than on the spectacle day (p < 0.002). There was no significant effect of the recovery periods on end-of-day comfort (p > 0.05). Although lens wear affected noninvasive tear film break-up time and conjunctival staining, there were no effects of recovery period length on noninvasive tear film break-up time (p > 0.05), tear meniscus height (p > 0.05), corneal staining (p > 0.05), conjunctival staining (p > 0.05), bulbar conjunctival redness (p > 0.05), or limbal redness (p > 0.05). There was no consistent effect of recovery period length on lid margin staining. CONCLUSIONS: Lens-free recovery periods during a 12-hour lens wear day did not positively impact end-of-day comfort in this study. Cumulative lens wear times ranged from 8 to 12 hours, and the results suggest that once the length of lens wear exceeds the usual comfortable wear time, there is no benefit of short recovery periods.


Subject(s)
Contact Lenses, Hydrophilic/statistics & numerical data , Ocular Physiological Phenomena , Patient Comfort , Recovery of Function/physiology , Vision, Ocular/physiology , Adult , Cross-Over Studies , Female , Humans , Male , Prospective Studies , Tears/physiology , Time Factors , Young Adult
8.
PLoS One ; 11(2): e0148607, 2016.
Article in English | MEDLINE | ID: mdl-26848836

ABSTRACT

Future global change scenarios predict a dramatic loss of biodiversity for many regions in the world, potentially reducing the resistance and resilience of ecosystem functions. Once before, during Plio-Pleistocene glaciations, harsher climatic conditions in Europe as compared to North America led to a more depauperate tree flora. Here we hypothesize that this climate driven species loss has also reduced functional diversity in Europe as compared to North America. We used variation in 26 traits for 154 North American and 66 European tree species and grid-based co-occurrences derived from distribution maps to compare functional diversity patterns of the two continents. First, we identified similar regions with respect to contemporary climate in the temperate zone of North America and Europe. Second, we compared the functional diversity of both continents and for the climatically similar sub-regions using the functional dispersion-index (FDis) and the functional richness index (FRic). Third, we accounted in these comparisons for grid-scale differences in species richness, and, fourth, investigated the associated trait spaces using dimensionality reduction. For gymnosperms we find similar functional diversity on both continents, whereas for angiosperms functional diversity is significantly greater in Europe than in North America. These results are consistent across different scales, for climatically similar regions and considering species richness patterns. We decomposed these differences in trait space occupation into differences in functional diversity vs. differences in functional identity. We show that climate-driven species loss on a continental scale might be decoupled from or at least not linearly related to changes in functional diversity. This might be important when analyzing the effects of climate-driven biodiversity change on ecosystem functioning.


Subject(s)
Climate Change , Extinction, Biological , Trees/physiology , Biodiversity , Conservation of Natural Resources , Cycadopsida/physiology , Geography , Magnoliopsida/physiology
9.
Proc Natl Acad Sci U S A ; 111(38): 13739-44, 2014 Sep 23.
Article in English | MEDLINE | ID: mdl-25225398

ABSTRACT

Using functional traits to explain species' range limits is a promising approach in functional biogeography. It replaces the idiosyncrasy of species-specific climate ranges with a generic trait-based predictive framework. In addition, it has the potential to shed light on specific filter mechanisms creating large-scale vegetation patterns. However, its application to a continental flora, spanning large climate gradients, has been hampered by a lack of trait data. Here, we explore whether five key plant functional traits (seed mass, wood density, specific leaf area (SLA), maximum height, and longevity of a tree)--indicative of life history, mechanical, and physiological adaptations--explain the climate ranges of 250 North American tree species distributed from the boreal to the subtropics. Although the relationship between traits and the median climate across a species range is weak, quantile regressions revealed strong effects on range limits. Wood density and seed mass were strongly related to the lower but not upper temperature range limits of species. Maximum height affects the species range limits in both dry and humid climates, whereas SLA and longevity do not show clear relationships. These results allow the definition and delineation of climatic "no-go areas" for North American tree species based on key traits. As some of these key traits serve as important parameters in recent vegetation models, the implementation of trait-based climatic constraints has the potential to predict both range shifts and ecosystem consequences on a more functional basis. Moreover, for future trait-based vegetation models our results provide a benchmark for model evaluation.


Subject(s)
Adaptation, Physiological , Models, Biological , Quantitative Trait, Heritable , Seed Dispersal/physiology , Seeds/physiology , Trees/physiology , North America
11.
Optom Vis Sci ; 90(4): 359-65, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23518677

ABSTRACT

PURPOSE: To compare tear film osmolarity measurements between in situ and vapor pressure osmometers. Repeatability of in situ measurements and the effect of sample collection techniques on tear film osmolarity were also evaluated. METHODS: Osmolarity was measured in one randomly determined eye of 52 healthy participants using the in situ (TearLab Corporation, San Diego, CA) and the vapor pressure (Vapro 5520; Wescor, Inc., Logan, UT) osmometers. In a subset of 20 participants, tear osmolarity was measured twice on-eye with the in situ osmometer and was additionally determined on a sample of nonstimulated collected tears (3 µL) with both instruments. RESULTS: Mean (SD) tear film osmolarity with the in situ osmometer was 299.2 (10.3) mOsmol/L compared with 298.4 (10) mmol/kg with the vapor pressure osmometer, which correlated moderately (r = 0.5, P < 0.05). Limits of agreement between the two instruments were -19.7 to +20.5 mOsmol/L. Using collected tears, measurements with the vapor pressure osmometer were marginally higher (mean [SD], 303.0 [11.0] vs 299.3 [8.0] mOsmol/L; P > 0.05) but correlated well with those using the in situ osmometer (r = 0.9, P < 0.05). The mean (SD) osmolarity of on-eye tears was 5.0 (6.6) mOsmol/L higher than that of collected tears, when both measurements were conducted with the in situ osmometer. This was a consistent effect because the measurements correlated well (r = 0.65, P < 0.05).The in situ osmometer showed good repeatability with a coefficient of repeatability of 9.4 mOsmol/L (r = 0.8, P < 0.05). CONCLUSIONS: Correlation between the two instruments was better when compared on collected tear samples. Tear film osmolarity measurement is influenced by the sample collection technique with the osmolarity of on-eye tears being higher than that of collected tears. This highlights the importance of measuring tear film osmolarity directly on-eye. The in situ osmometer has good repeatability for conducting this measurement.


Subject(s)
Osmometry/methods , Tears/chemistry , Adult , Dry Eye Syndromes/metabolism , Dry Eye Syndromes/physiopathology , Equipment Design , Female , Humans , Male , Middle Aged , Osmolar Concentration , Reference Values , Reproducibility of Results , Specimen Handling , Vapor Pressure , Young Adult
12.
Clin Exp Optom ; 95(1): 3-11, 2012 Jan.
Article in English | MEDLINE | ID: mdl-22022802

ABSTRACT

The tear film is a nourishing, lubricating and protecting layer that bathes the ocular surface. It is continuously replenished through cycles of production and elimination via evaporation, absorption and drainage. These processes are often referred to as tear film dynamics. Osmolality is an objective clinical measurement that provides insight into the balance of these complex tear film dynamics. Balanced tear production and elimination is vital for tear film integrity, stability and normal osmolality. Imbalances cause alterations of the tear film structure and composition, ultimately leading to tear film instability and measurable tear film hyperosmolality. Elevated tear film osmolality is considered a core mechanism in dry eye, forming the basis of dry eye symptoms and leading to ocular surface damage. Despite its immense potential in the diagnosis of dry eye, tear film osmolality is not commonly assessed. This review will focus on the current knowledge of tear film dynamics and tear film osmolality.


Subject(s)
Dry Eye Syndromes/physiopathology , Tears/physiology , Dry Eye Syndromes/metabolism , Humans , Osmolar Concentration , Tears/chemistry
13.
Cont Lens Anterior Eye ; 33(2): 68-75, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20117960

ABSTRACT

PURPOSE: To determine whether hypo-osmotic saline drops can improve contact lens associated discomfort and dryness by decreasing contact lens osmolality. METHODS: Fifteen symptomatic subjects wore Lotrafilcon A lenses bilaterally for 6h on two different days. According to randomisation, hypo-osmotic (280mmol/kg) or hyper-osmotic (380mmol/kg) saline drops were applied four times during each day and ocular symptoms, tear film and contact lens parameters, and contact lens osmolality were assessed. RESULTS: Sixty percent of the subjects preferred the hypo-osmotic saline drops, compared to 33%, who preferred the hyper-osmotic ones. Subjects experienced significantly less dryness and lens awareness with hypo-osmotic saline drops compared to hyper-osmotic ones (p<0.05). Using the hypo-osmotic drops, there was a trend for decreased contact lens osmolality from 379 to 343mmol/kg (p=0.06). There were no differences in lipid layer, non-invasive tear film break-up time, lens surface wettability, lens water content after wear, lens movement on eye or ocular staining and indentation between saline drops (all p>0.05). Interestingly, the difference in contact lens osmolality between drops did not reflect the osmolality difference between the two saline drops. CONCLUSION: Hypo-osmotic saline drops were preferred by a greater number of subjects and contact lens osmolality tended to be lower with the use of hypo-osmotic saline. Hypo-osmotic drops have the potential to decrease contact lens osmolality which in turn may help improve ocular comfort. This has possible impact on the practitioners' choice of the lens rewetting drop recommended and the design of future lens rewetting drops.


Subject(s)
Contact Lenses/adverse effects , Dry Eye Syndromes/etiology , Dry Eye Syndromes/prevention & control , Ophthalmic Solutions/administration & dosage , Sodium Chloride/administration & dosage , Adult , Female , Humans , Male , Middle Aged , Treatment Outcome , Young Adult
14.
Optom Vis Sci ; 86(7): 857-67, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19525883

ABSTRACT

PURPOSE: To evaluate a novel method to measure the osmolality of worn contact lenses and assess the impact of contact lens and tear film osmolality on comfort during short-term wear. METHODS: A new method to measure contact lens osmolality was validated by testing for repeatability and by evaluating independence of lens material, power, and osmolality value of the lens. This method was then used in a clinical study. Nine different lens types were each worn by 15 subjects. Osmolality, tear film, and ocular surface parameters were tested for their association to comfort using linear mixed model. RESULTS: The method to measure contact lens osmolality was independent of lens material (p = 0.911), power (p = 0.826), and osmolality value of the lens (p = 0.858). No differences in contact lens osmolalities between two different days were observed (p > 0.05). Comfort after 6 h of lens wear was associated with the osmolality of the worn lens (p = 0.006, r = -0.41) but not with tear osmolality after lens wear (p = 0.993). Comfort was associated with conjunctival indentation (p = 0.002, r = -0.37). Osmolality of worn lenses significantly correlated with tear film break-up time (p = 0.003, r = -0.22), lens water content (p < 0.001, r = -0.58), conjunctival indentation (p < 0.001, r = 0.45), and ocular sensitivity (p < 0.05) after 6 h lens wear. CONCLUSION: This newly developed method to measure contact lens osmolality was repeatable and independent of lens material, power, and osmolality value of the contact lens. Although no association between tear film osmolality and ocular comfort after 6 h of lens wear could be demonstrated, contact lens osmolality was associated with comfort and ocular surface characteristics, and may provide the link between symptoms and clinical observations.


Subject(s)
Conjunctiva/physiology , Contact Lenses , Tears/metabolism , Adult , Female , Humans , Linear Models , Male , Methods , Optics and Photonics , Osmolar Concentration , Pilot Projects , Reproducibility of Results , Time Factors , Young Adult
15.
Optom Vis Sci ; 84(4): 321-7, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17435516

ABSTRACT

PURPOSE: To investigate the influence of sample volume and contact lens material on osmolality measurements made with a Wescor vapor pressure osmometer. METHODS: Accuracy: Sample volumes of 0.8, 2.0, and 10.0 microL were tested with 290, 320, and 1000 mmol/kg after the osmometer was calibrated with the intended sample volume. Influence of sample volume: Sample volumes ranging from 0.5 to 1.1 microL (0.1 steps) were applied with solutions of 290, 320, 500, and 1000 mmol/kg after the osmometer was calibrated with 0.8 microl, independent of the intended sample volume. Influence of contact lens material: Lens discs of 3.4 millimeters were trephined from the center of Lotrafilcon B, Nelfilcon A, Balafilcon A and Etafilcon A lenses, and equilibrated in phosphate buffered saline with 290 mmol/kg after dehydration for 16 h. The osmometer was calibrated with 0.8 microl and lens discs were inserted into the small sample holder of the osmometer. RESULTS: There were no significant differences between the nominal and measured osmolalities for each sample volume and solution combination (all p > 0.05). Influence of sample volume: Differences of more than 0.1 microl between the calibration and sample volume significantly affected osmolality readings, with sample volumes larger than calibration volume resulting in lower readings, and smaller volumes resulting in higher readings. Influence of contact lens material: Measured osmolalities of Lotrafilcon B (358.8 +/- 45.4 mmol/kg) and Balafilcon A (356.7 +/- 38.7 mmol/kg) were not significantly different to each other (p = 0.999) but were significantly higher than Etafilcon A (298.2 +/- 15.9 mmol/kg) and Nelfilcon A (281.2 +/- 12.2 mmol/kg, p < 0.05). There was no significant difference between Etafilcon A and Nelfilcon A lenses (p = 0.056). The main factors associated with measured osmolality were water content, sample volume and their interaction (r(2) = 0.716). CONCLUSION: Osmolality readings varied with calibration and sample volume, and with different contact lens materials.


Subject(s)
Contact Lens Solutions/chemistry , Contact Lenses , Calibration , Humans , Hydrogels/chemistry , In Vitro Techniques , Osmolar Concentration , Pressure , Reproducibility of Results , Silicones/chemistry , Volatilization
16.
Am J Ophthalmol ; 141(6): 1051-6, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16765672

ABSTRACT

PURPOSE: To determine tear osmolality (TO) and tear meniscus height (TMH) in patients with functional (FNLDO) and primary acquired (PANDO) nasolacrimal duct obstruction. Additionally, to determine the effect of successful dacryocystorhinostomy surgery on these tear parameters. DESIGN: Prospective case-controlled interventional case series. METHODS: Up to 20 microl of basal tears were collected from 20 age- and gender-matched control subjects, 33 patients with FNLDO, 28 patients with PANDO, and 31 patients after successful dacryocystorhinostomy. TMH was measured with videoreflective dacryomeniscometry, and TO was measured with vapor pressure osmometry. RESULTS: Thirty-nine percent of the patients with FNLDO (13/33) elected to undergo dacryocystorhinostomy surgery, compared with 64% of the patients with PANDO (18/28; P = .09). TMH was significantly higher in the disease groups (FNLDO median, 630 +/- 187 microm; PANDO median, 620 +/- 210 microm) compared with the control subjects (median 262 +/- 50 microm; P < .01). In those patients who underwent surgery, TMH was slightly higher in FNLDO than PANDO (P = .08), and TMH reduced significantly after surgery (P < .05). Mean TO in the control subjects was 313 +/- 17 mmol/kg, in FNLDO was 309 +/- 19 mmol/kg, and in PANDO was 315 +/- 24 mmol/kg (P > .05). TO was similar in those patients who progressed to surgery compared with the total group and was unaffected by surgery. CONCLUSION: TO was similar in normal control subjects and in the watery eye group and was unchanged after dacryocystorhinostomy surgery. Despite the slightly higher TMH in patients with FNLDO, a higher proportion of patients PANDO elected to have surgery. Relative to FNLDO, patients with PANDO who progressed to surgery had lower TMH and normal TO, which suggests that a complete lacrimal drainage obstruction induces negative feedback that results in no reduction in TO.


Subject(s)
Lacrimal Duct Obstruction/complications , Nasolacrimal Duct/pathology , Tears/chemistry , Aged , Case-Control Studies , Dacryocystorhinostomy , Female , Humans , Male , Middle Aged , Osmolar Concentration , Prospective Studies
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