Our Tear Film
The makeup of the tear film and its relationship to the ocular surface is a complex one that plays an integral role in our health.
The most important function of the tear film is to promote clear and crisp vision. The tears coat and make a smooth surface over the cornea which prevents fluctuations in vision regardless of the environment. This is key when clear vision can mean the difference in driving safely at night or getting into an accident. The tears also form a protective layer to protect the eye from foreign material and infections.
Generally speaking, the tear film may be broken down into 3 distinct layers although this is a simplistic view.
The inner layer is made of mucins (a combination of proteins and carbohydrates). This layer helps bond the water layer to the surface of the cornea and hold it in place. Without this critical component the tears would slide off the eye as you can imagine when water is splashed onto a window. These mucins are produced from our goblet cells.
The second layer is the aqueous layer. This layer consists of water and various vitamins and minerals that play a key role in maintaining a healthy or functioning cornea. This layer is produced from our lacrimal gland.
The third layer is the lipid or oil layer. This component increases lubrication and prevents the evaporation of the tears. These lipids are produced from our meibomian glands that are located in the upper and lower eyelids and are expressed with each blink we make.
Normal tears are a complex integration of substance and form and when they don't function properly the consequences can be dire.