THE EFFECT OF INCREASE IN HUMIDITY ON TEAR BREAK-UP TIME
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Background: Tear break up is an important indicator of tear film stability, representing the interval between a complete blink and the first appearance of a dry spot on the corneal surface. Humidity plays a crucial role in tear film dynamics. Increase humidity decelerate evaporative water loss from the tear film, increasing tear break up time (TBUT) and alleviate ocular discomfort. Objective: This study investigated the effect of increased humidity on tear breakup time (TBUT) amid fifty (50) participants attending University of Benin Optometry teaching clinic. Studies have shown that increased humidity leads to a significant increase in tear break up time (TBUT), resulting in increased ocular comfort. Therefore, in this study we investigated the effect of increased humidity on TBUT. Method: Close observation on fifty (50) participants with convenient sampling design. Data on age, gender was carried out, an ocular surface disease index (OSDI) questionnaire was used to grade the participants into normal, mild, moderate and severe tear dry eye , they were then exposed to ideal humidity and increased humidity level, after 10 minutes of acclimatization in each humidity condition, non-invasive tear break up time (NITBUT) was measured in both conditions and findings were recorded. Result: Increase in humidity between 50% and 70% relative humidity (RH) were statistically significant (p < 0.001), with large effect sizes (r = 0.80-0.95), participants with normal, mild and severe ocular surface disorder index (OSDI) score all showed significant increase in tear break up time (TBUT) and increased ocular comfort. Conclusion: Result demonstrates that increase in humidity level markedly improved tear film stability from all groups regardless of age, gender, ocular surface health (normal or dry eye). The results of this study confirmed that humidity is a critical environmental factor that influences ocular surface health. The study also revealed that controlled increase in humidity level yielded statistically significant tear film stability (p<0.001) in all groups. KEYWORDS: relative humidity, tear break-up time, tear film stability, ocular health.
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