Diurnal Variation of Tear Film Dynamics During Digital Device Use

Year : 2025 | Volume : 14 | Issue : 01 | Page : 22 29
    By

    Sankhajyoti Saha,

  • Abanti Sen,

  • Pratyay Ranjan Dutta,

  1. Assistant Professor, Department of Optometry and Vision Science, NSHM Knowledge Campus, Kolkata, West Bengal, India
  2. Researcher, Department of Optometry, Probal Eye Institute, Kolkata, West Bengal, India
  3. Researcher, Department of Computing and Analytics, NSHM Knowledge Campus, Kolkata, West Bengal, India

Abstract

With a primary focus on their effects on tear dynamics and ocular health, this research effort addresses the hyperlink between pre and post digital screen usage, time of day, and tear dynamics. The desired outcomes of the eye health metrics divulge that post-digital screen exposure significantly reduces mean tear production values across all conditions (p < 0.05), with this impact intensifying as the day progresses. These observations show the interplay between digital stress and circadian alteration in tear dynamics, bringing attention to the relevance it has become for eye care professionals to contemplate temporal variations while preventing dry eye syndrome. Reduction in Schirmer value, tear breakup time and tear meniscus height suggest decreased tear production or lack of distribution across the eye possibly due to prolonged screen time causing reduced blink rate and increased evaporation. Individualized approaches that address these variables may enhance the effectiveness of treatment for people who suffer from dry eye disorders and ocular discomfort brought on by screen use.

Keywords: Tear film, Schirmer test, tear breakup time, tear meniscus height, diurnal variation

[This article belongs to Research and Reviews : A Journal of Medical Science and Technology ]

How to cite this article:
Sankhajyoti Saha, Abanti Sen, Pratyay Ranjan Dutta. Diurnal Variation of Tear Film Dynamics During Digital Device Use. Research and Reviews : A Journal of Medical Science and Technology. 2025; 14(01):22-29.
How to cite this URL:
Sankhajyoti Saha, Abanti Sen, Pratyay Ranjan Dutta. Diurnal Variation of Tear Film Dynamics During Digital Device Use. Research and Reviews : A Journal of Medical Science and Technology. 2025; 14(01):22-29. Available from: https://journals.stmjournals.com/rrjomst/article=2025/view=196994


References

  1. Forrester JV, Dick AD, McMenamin PG, Roberts F, Pearlman E. Biochemistry and cell biology. In: The Eye. 4th ed. London: Elsevier; 2016. p. 157–268.e4. doi:10.1016/b978-0-7020-5554-6.00004-6.
  2. Chang AY, Purt B. Biochemistry, tear film. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK572136/. Updated 2023 Jun 5.
  3. Choi JH, Li Y, Kim SH, Jin R, Kim YH, Choi W, et al. The influences of smartphone use on the status of the tear film and ocular surface. PLoS One. 2018;13(10):e0206541. doi:10.1371/journal.pone.0206541.
  4. Dartt DA. Neural regulation of lacrimal gland secretory processes: relevance in dry eye diseases. Prog Retin Eye Res. 2009;28(3):155–77. doi:10.1016/j.preteyeres.2009.04.003.
  5. Yang B, Intoy J, Rucci M. Eye blinks as a visual processing stage. Proc Natl Acad Sci USA. 2024;121(15):e2310291121. doi:10.1073/pnas.2310291121.
  6. 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;15:3811–20. doi:10.2147/OPTH.S321591.
  7. Stapleton F, Alves M, Bunya VY, et al. TFOS DEWS II epidemiology report. Ocul Surf. 2017;15(3):334–65.
  8. LeBlanc AG, Gunnell KE, Prince SA, Saunders TJ, Barnes JD, Chaput J-P. The ubiquity of the screen: an overview of the risks and benefits of screen time in our modern world. Transl J Am Sports Med. 2017;2(17):104–13.
  9. Lee SM, Chung SJ, Lew H. Evaluation of tear film lipid layer thickness measurements obtained using an ocular surface interferometer in nasolacrimal duct obstruction patients. Korean J Ophthalmol. 2018;32(6):445–50. doi:10.3341/kjo.2018.0012.
  10. Montés-Micó R. Role of the tear film in the optical quality of the human eye. J Cataract Refract Surg. 2007;33(9):1631–5. doi:10.1016/j.jcrs.2007.06.019.
  11. Koh S, Tung CI, Inoue Y, Jhanji V. Effects of tear film dynamics on quality of vision. Br J Ophthalmol. 2018;102(12):1615–20. doi:10.1136/bjophthalmol-2018-312333.
  12. Brott NR, Zeppieri M, Ronquillo Y. Schirmer test. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Feb 24. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559159/.
  13. Vidas Pauk S, Petriček I, Jukić T, Popović-Suić S, Tomić M, Kalauz M, et al. Noninvasive tear film break-up time assessment using handheld lipid layer examination instrument. Acta Clin Croat. 2019;58(1):63–71. doi:10.20471/acc.2019.58.01.09.
  14. Wan C, Hua R, Guo P, Lin P, Wang J, Yang W, et al. Measurement method of tear meniscus height based on deep learning. Front Med. 2023;10:1126754. doi:10.3389/fmed.2023.1126754.
  15. Dartt DA. Neural regulation of lacrimal gland secretory processes: relevance in dry eye diseases. Prog Retin Eye Res. 2009;28(3):155–77. doi:10.1016/j.preteyeres.2009.04.003.
  16. Walker PM, Lane KJ, Ousler GW 3rd, Abelson MB. Diurnal variation of visual function and the signs and symptoms of dry eye. Cornea. 2010;29(6):607–12. doi:10.1097/ICO.0b013e3181c11e45.
  17. Ayaki M, Tachi N, Hashimoto Y, Kawashima M, Tsubota K, Negishi K. Diurnal variation of human tear meniscus volume measured with tear strip meniscometry self-examination. PLoS One. 2019;14(4):e0215922. doi:10.1371/journal.pone.0215922.
  18. Pena-Verdeal H, Garcia-Resua C, Garcia-Queiruga J, Sabucedo-Villamarin B, Yebra-Pimentel E, Giraldez MJ. Diurnal variations of tear film osmolarity on the ocular surface. Clin Exp Optom. 2023;106(4):351–61. doi:10.1080/08164622.2022.2051697.
  19. Falchi F, Cinzano P, Elvidge CD, Keith DM, Haim A. Limiting the impact of light pollution on human health, environment and stellar visibility. J Environ Manag. 2011;92(10):2714–22. doi:10.1016/j.jenvman.2011.06.029.
  20. Srinivasan S, Chan C, Jones L. Apparent time-dependent differences in inferior tear meniscus height in human subjects with mild dry eye symptoms. Clin Exp Optom. 2007;90(5):345–50. doi:10.1111/j.1444-0938.2007.00174.x.
  21. Lira M, Oliveira ME, Franco S. Comparison of the tear film clinical parameters at two different times of the day. Clin Exp Optom. 2011;94(6):557–62. doi:10.1111/j.1444-0938.2011.00647.x.
  22. de Paiva CS. Effects of aging in dry eye. Int Ophthalmol Clin. 2017;57(2):47–64. doi:10.1097/IIO.0000000000000170.
  23. Yu Q, Wu JX, Zhang HN, Ye S, Dong SQ, Zhang CH. Aberration changes of the corneal anterior surface following discontinued use of rigid gas permeable contact lenses. Int J Ophthalmol. 2013;6(2):178–82. doi:10.3980/j.issn.2222-3959.2013.02.14.
  24. Munnilari M, Bommasamudram T, Easow J, Tod D, Varamenti E, Edwards BJ, et al. Diurnal variation in variables related to cognitive performance: a systematic review. Sleep Breath. 2024;28(1):495–510. doi:10.1007/s11325-023-02895-0.
  25. Lim KJ, Lee JH. Measurement of the tear meniscus height using 0.25% fluorescein sodium. Korean J Ophthalmol. 1991;5(1):34–6. doi:10.3341/kjo.1991.5.1.34.
Regular Issue Subscription Review Article
Volume 14
Issue 01
Received 02/12/2024
Accepted 18/12/2024
Published 05/02/2025
Publication Time 65 Days
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