ESCRS - POCOR539 - Diagnostic Accuracy Of The Tear Film Index Test.

Diagnostic Accuracy Of The Tear Film Index Test.

Published 2026 - 44th Congress of the ESCRS

Reference: POCOR539 | Type: Poster | DOI: 10.82333/nyx7-w144

Authors: Dr Maria S Romero* 1 , Mr Manu Lerma 2 , Mrs Mackenzie Setton 3 , Mrs Isabela Tasser 3

1Ophthalmology,Precision Eye Care,Baltimore,United States, 2Biomedical Engineer ,University of Miamia,Miami,United States, 3Neuroscience,Johns Hopkins University,Baltimore,United States

Purpose

To compare the Tear Film Index test by the iTrace ( Tracey technology) to the clinical gold standard diagnosis for tear film stability.

Setting

Private Practice Batimore.

Methods

Prospective diagnosis accuracy study.

Inclusion criteria; adults >18 yo with healthy ocular surface and no history of ocular comorbidity that had on the same visit the TFI test, OSDI questionnaire and BUT test and corneal fluorescein stainning.

Exclusion criteria: any patients with symptoms or diagnosis of dry eye, any active ocular surface disease, history of corneal surgery, irregular cornea or severe ptosis that could compromise the Placido disc images.

Primary endpoints: success was determined as  Sensitivity>80 % and Specificity >85% compared to the gold standard in detecting tear film unstability.

Results

A total of 60 patients and 104 eyes were included in the study. The Tear Film Inndex by the iTrace met the success primary endpoints of sensitivity >80 % and specificy >85% with an slight difference with the right and lett eyes but not stadistical signifcance betwee them.

Conclusions

Tear Film Index test by the Itrace is reliable and accurate objective test  do diagnose tear film stabiliy in the normal eyes compared with the gold standard based in our results.