Abstract

Objective: This study aimed to improve the tear ferning (TF) patterns in the sheep tears after the addition of various electrolyte solutions in different proportions.Animal Studied: Sheep were located at a small farm in the outskirts of Riyadh, Saudi Arabia. The sheep had no ocular disorders or diseases, and none of the female sheep were pregnant.Methods: Tear samples (20 μl) were collected from the right eyes of seven healthy sheep (five female sheep and two male sheep; age 7–36 months with an average of 17.0 ± 10.3 months). A tear sample (1 μl) from each sheep was dried on a microscopic glass slide at 22°C and <40% humidity. The TF patterns were graded based on the five-point grading scale in 0.1 increments. Homogenous mixtures were prepared by mixing tears from each sheep (0.5 μl) with various electrolyte solutions in different proportions (1:1, 1:2, 1:4, 1:6, 1:8, and 1:10). A sample of each mixture (1 μl) was dried on a glass slide, and the TF patterns for each mixture were observed, recorded, graded, and compared with those of the corresponding pure sheep tears. In addition, each sheep tear sample (0.5 μl) was diluted with pure water (0.5 μl) and the TF images were recorded and graded to test the dilution effect.Results: General improvement was noted in TF grades after the addition of electrolyte solutions, ranging from 1.7–1.4 to 1.3–0.3 regardless of the ratio between the electrolyte solutions and sheep tears within the mixture. TF grades of sheep tear samples improved significantly after adding different volumes of calcium chloride solution. Similar improvements in TF grades were observed when magnesium chloride hexahydrate and sodium dihydrogen phosphate solutions were used as the electrolytes. Some improvements in the TF grades occurred with the addition of potassium chloride to sheep tear samples. There was little improvement in TF grades after the addition of sodium chloride solution.Conclusion: Tear ferning grades of sheep tear samples improved when mixed with a number of electrolyte solutions at different volumes, in particular with calcium chloride or magnesium chloride solutions. Some improvements in TF grades were seen with sodium dihydrogen phosphate or potassium chloride solution added as the electrolyte. Clearly, divalent electrolytes lead to a greater improvement in TF grades of sheep tear samples as compared with sodium dihydrogen phosphate or monovalent electrolytes.

Highlights

  • Tear film status determines the integrity of the ocular surface [1,2,3]

  • The present study proved that the addition of electrolyte solutions to the tears of sheep can significantly improve tear ferning (TF)

  • The result of the present study suggests no sex-based differences in the TF patterns among sheep possibly due to the dry climate in Saudi Arabia

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Summary

Introduction

Tear film status determines the integrity of the ocular surface [1,2,3]. It protects the eye against microorganism infection, supplies nutrients and oxygen to the cornea, and creates the smooth surface of the eye [4, 5]. Excessive evaporation of tears or reduced production of aqueous content leads to instability within the tear film. Such instability results in a common condition known as dry eye [6]. Severe dry eye leads to damage to the conjunctiva, ocular epithelia, and cornea [7]. Dry eye is associated with several illnesses such as diabetes, thyroid gland disorders, vitamin A and D deficiencies, high blood cholesterol level, and high body mass index [14,15,16,17,18,19]

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