Our model underscores the importance of using fluorescein concentrations at or near the critical concentration clinically so that quenching reflects tear film thinning and breakup. In addition, the model predicts that, depending on tear film and osmotic factors, the osmolarity within the corneal compartment of the tear film may increase markedly during tear film thinning, well above levels that cause marked discomfort.
We examine the effects of capillarity and gravity in a model of one-dimensional imbibition of an incompressible liquid into a deformable porous material. We focus primarily on a capillary rise problem but also discuss a capillary/gravitational drainage configuration in which capillary and gravity forces act in the same direction. Models in both cases can be formulated as nonlinear free-boundary problems. In the capillary rise problem, we identify time-dependent solutions numerically and compare them in the long time limit to analytically obtain equilibrium or steady state solutions. A basic feature of the capillary rise model is that, after an early time regime governed by zero gravity dynamics, the liquid rises to a finite, equilibrium height and the porous material deforms into an equilibrium configuration. We explore the details of these solutions and their dependence on system parameters such as the capillary pressure and the solid to liquid density ratio. We quantify both net, or global, deformation of the material and local deformation that may occur even in the case of zero net deformation. In the model for the draining problem, we identify numerical solutions that quantify the effects of gravity, capillarity, and solid to liquid density ratio on the time required for a finite volume of fluid to drain into the deformable porous material. In the Appendix, experiments on capillary rise of water into a deformable sponge are described and the measured capillary rise height and sponge deformation are compared with the theoretical predictions. For early times, the experimental data and theoretical predictions for these interface dynamics are in general agreement. On the other hand, the long time equilibrium predicted theoretically is not observed in our experimental data.
We report the results of some recent experiments to visualize tear film dynamics. We then study a mathematical model for tear film thinning and tear film breakup (TBU), a term from the ocular surface literature. The thinning is driven by an imposed tear film thinning rate which is input from in vivo measurements. Solutes representing osmolarity and fluorescein are included in the model. Osmolarity causes osmosis from the model ocular surface, and the fluorescein is used to compute the intensity corresponding closely to in vivo observations. The imposed thinning can be either one-dimensional or axisymmetric, leading to streaks or spots of TBU, respectively. For a spatially-uniform (flat) film, osmosis would cease thinning and balance mass lost due to evaporation; for these space-dependent evaporation profiles TBU does occur because osmolarity diffuses out of the TBU into the surrounding tear film, in agreement with previous results. The intensity pattern predicted based on the fluorescein concentration is compared with the computed thickness profiles; this comparison is important for interpreting in vivo observations. The non-dimensionalization introduced leads to insight about the relative importance of the competing processes; it leads to a classification of large vs small TBU regions in which different physical effects are dominant. Many regions of TBU may be considered small, revealing that the flow inside the film has an appreciable influence on fluorescence imaging of the tear film.
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