Journal of Clinical Medicine Article Tear Film Break-Up Time and Dry Eye Disease Severity in a Large Norwegian Cohort Mazyar Yazdani 1,2,* , Jørgen Fiskådal 1, Xiangjun Chen 1,3,4, Øygunn A. Utheim 1,2,5, Sten Ræder 1, Valeria Vitelli 6 and Tor P. Utheim 1,2,3,4,5,7,8 1 The Norwegian Dry Eye Clinic, 0366 Oslo, Norway; jorgen_fi
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[email protected] (T.P.U.) 2 Department of Medical Biochemistry, Oslo University Hospital, 0450 Oslo, Norway 3 Department of Oral Surgery and Oral Medicine, University of Oslo, 0317 Oslo, Norway 4 Department of Ophthalmology, Sørlandet Hospital Arendal, 4604 Arendal, Norway 5 Department of Ophthalmology, Oslo University Hospital, 0450 Oslo, Norway 6 Oslo Center for Biostatistics and Epidemiology, Department of Biostatistics, University of Oslo, Sognsvannsveien 9, 0372 Oslo, Norway;
[email protected] 7 Department of Ophthalmology, Stavanger University Hospital, 4011 Stavanger, Norway 8 Department of Plastic and Reconstructive Surgery, Oslo University Hospital, 0450 Oslo, Norway * Correspondence:
[email protected] Abstract: This study evaluated to what extent tear film break-up time (TFBUT) could discriminate pathological scores for other clinical tests and explore the associations between them. Dry eye patients (n = 2094) were examined for ocular surface disease index (OSDI), tear film osmolarity (Osm), TFBUT, blink interval, ocular protection index (OPI), ocular surface staining (OSS), Schirmer I test, meibomian expressibility, meibomian quality, and meibomian gland dysfunction. The results were grouped into eight levels of break-up time (≤2, ≥3, ≤5, ≥6, ≤10, ≥11, ≤15, and ≥16) with or without sex stratification.