Biology Question #1702

Tarek Samaha, a 39 year old male from Lengerich, Germany asks on November 21, 2003,

I would like to know the amount of salt (either in ppm or %) in a normal human tear.

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The answer

John Tiffany, Opthalmology Professor, Oxford University, England answered on November 24, 2003

Freshly-produced human tears are isotonic with blood serum [the same concentration of salt], which is the equivalent of 0.9% sodium chloride or about 150 millimolar (although the electrolytes in tears are slightly different). If you hold the eye open so that there is significant evaporative loss from the surface layer of fluid over the eyeball, the concentration can rise to about the equivalent of 1.0% sodium chloride. It is thought that this rise in salt helps to stimulate the corneal nerves and trigger a blink.

Usually we measure the osmolarity of tears. Although this includes non-electrolytes too, the contribution from tear proteins is very small compared to that from the electrolytes [salts]. The normal value is about 305 mOsmoles/kg. In ocular surface disorders such as aqueous-tear-deficient "dry eye" (or keratoconjunctivitis) the value is always above 312 mOsm/kg.

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