Can Artificial Tears Affect Your Tear Test Results? - Ophthalmology

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Hello, Doctor Gao: I was recently diagnosed with dry eye syndrome at an ophthalmology clinic and have started using artificial tears.
However, I would like to undergo another tear film test and other examinations.
I would like to know if I can use artificial tears on the day of the tear film test, and whether it will affect the test results.
Thank you!

Angela, 20~29 year old female. Ask Date: 2013/11/28

Dr. Gao Pilin reply Ophthalmology


Hello Angela: Before the dry eye test, any residual tears in the eyes will be absorbed, so it should not affect the test results.
Thank you for your message.

Reply Date: 2013/11/28

More Info


When it comes to the use of artificial tears and their potential impact on tear tests, it is essential to understand the nature of these tests and the role of artificial tears in managing dry eye syndrome. Artificial tears are commonly used to alleviate symptoms of dry eyes by providing moisture and lubrication to the ocular surface. However, their use can indeed influence the results of certain diagnostic tests for dry eye conditions.

In general, it is advisable to avoid using artificial tears on the day of your tear test. The reason for this is that artificial tears can artificially increase the tear film volume and mask the underlying condition that the test aims to evaluate. For instance, tests such as the Schirmer test, which measures tear production, can yield misleading results if artificial tears have been applied shortly before the test. This is because the artificial tears can contribute to an increased tear volume, leading to a false impression of adequate tear production.

Moreover, other tests, such as the tear break-up time (TBUT) test, which assesses the stability of the tear film, can also be affected by the presence of artificial tears. If artificial tears are used immediately before the test, they may prolong the break-up time, suggesting that the tear film is more stable than it actually is in the absence of these lubricants.

To ensure accurate results, it is recommended to refrain from using artificial tears for at least a few hours prior to the tear test. Some practitioners suggest a waiting period of 4 to 6 hours, while others may recommend a longer duration, depending on the specific test being performed and the formulation of the artificial tears used. It is always best to consult with your eye care professional for personalized advice regarding the timing of artificial tear application in relation to your scheduled tests.

In summary, while artificial tears are beneficial for managing dry eye symptoms, their use can interfere with the accuracy of tear tests. To obtain reliable results, it is advisable to avoid using artificial tears on the day of the test. If you have any further questions or concerns about your dry eye management or the testing process, do not hesitate to reach out to your eye care provider for guidance. They can provide you with tailored recommendations based on your specific situation and the tests you are undergoing.

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