Development of a Novel Tear Lipid Test Strip

Cornea. 2022 Feb 1;41(2):232-237. doi: 10.1097/ICO.0000000000002869.

Abstract

Purpose: The unifying characteristic of dry eye is the loss of tear film homeostasis, and the tear lipid layer is a key component for maintaining film stability. The detection of tear lipid is of great significance for the diagnosis of dry eye. In this study, we explored a new test strip for the detection of tear lipid.

Methods: The tear lipid test strip was prepared by coating the strip material with hydrophobic nano-silica. We tested its physical properties with iodine vapor chromogenic and cobalt chloride test methods. Its biosafety was evaluated by an ocular irritation test in rabbits. Finally, we established a rabbit meibomian gland dysfunction model and measured both eyes with the tear lipid test strip at the first, third, seventh, 14th, 16th, and 21st day after surgery.

Results: The tear lipid test strip had fine lipophilicity and hydrophobicity. It can extract lipid from tear, and the tear lipid can be quantified by measuring the length of lipid infiltration. In the ocular irritation test, the test strip had no obvious eye irritation. The length of lipid infiltration between experimental and control rabbit eyes began to show statistical difference since the third day after surgery.

Conclusions: The novel tear lipid test strip has great lipophilicity, hydrophobicity, and biological safety. It might be effectively applied in diagnosis of dry eye.

MeSH terms

  • Animals
  • Disease Models, Animal
  • Female
  • Lipid Metabolism / physiology*
  • Lipids / analysis*
  • Meibomian Gland Dysfunction / diagnosis
  • Meibomian Gland Dysfunction / metabolism*
  • Rabbits
  • Tears / chemistry*

Substances

  • Lipids