Abstract
Purpose: To describe the temperature of ocular surface by infrared thermography imaging in a healthy adult population. Methods: A cross-sectional study was carried out. Subjects older than 18 years considered visually and systemically healthy were chosen, after completing medical record and ophthalmological evaluation. The ambient temperature, humidity and luminosity were monitorized. The images were taken with the OPTRIS PI-450 camera. The temperature was analyzed at 7 points of the ocular surface. Data analysis was performed through the IBM SPSS Statistics 21 program. Results: 43 eyes were included (22 subjects) that met the inclusion criteria, 74% were women. The median age of the subjects studied was 31 years (Q1 28,00 – Q3 36.00 years). Median body temperature was 36.40 °C (Q1 36,30°C – Q3 36.50°C). The central cornea had a median temperature of 33.78 °C (Q1 33,17ºC – Q3 34.68 ºC), the superior limbus had a median temperature of 34,22°C (Q1 33,48ºC – Q3 34.66ºC), the inferior limbus had a median temperature of 33.88°C (Q1 33,24 ºC – Q3 34.92ºC), the nasal limbus had a median temperature of 34.42° C (Q1 33,90ºC – Q3 35.18ºC), the temporal limbus had a median temperature of 33.90 °C (Q1 33,54 ºC – Q3 35.53 ºC), the nasal conjunctiva had a median temperature of 35.10 °C (Q1 34,54 °C– Q3 35.53°C), the temporal conjunctiva had a median temperature of 34,50 °C (Q1 33,66 °C – Q3 35.22°C). Conclusions: Infrared Thermography Imaging can be a reproductible measurement method of the Ocular Surface Temperature, and it could get to be a non invasive diagnostic tool for ocular pathology. This study showed that OST at the center of the cornea is lower compared to nasal and temporal conjunctival areas. OST is 2 °C lower than the body temperature. Further analytic comparative studies are required to establish the usefulness of the IT as a diagnostic or screening tool in ocular pathology.
References
Menaka M, Manoharan U, Sharath D, Bhattacharjee P, Venkatraman B. Application of Thermal Imaging in Opthalmology. 2017;10-2. https://doi.org/10.21611/qirt.2017.012
Ring EFJ, Ammer K. Infrared thermal imaging in medicine. Physiol Meas. 2012;33(3):32-46. https://doi.org/10.1088/0967-3334/33/3/R33
Acharya R, Yun WL, Ng EY, Yu W, Suri JS. Imaging systems of human eye: a review. Journal of medical systems. 32(4), 2008:301-315. https://doi.org/10.1007/s10916-008-9135-y
Purslow C, Wolffsohn JS. Ocular Surface Temperature. Eye Contact Lens Sci Clin Pract 2005;31(3):117-23. https://doi.org/10.1097/01.ICL.0000141921.80061.17
Versura P, Giannaccare G, Fresina M, Campos EC. Subjective Discomfort Symptoms Are Related to Low Corneal Temperature in Patients with Evaporative Dry Eye. Cornea. 2015;34(9):1079-85. https://doi.org/10.1097/ICO.0000000000000512
Azharuddin M, Bera SK, Datta H, Dasgupta AK. Thermal fluctuation based study of aqueous deficient dry eyes by non-invasive thermal imaging. Exp Eye Res. 2014; 120:97-102. https://doi.org/10.1016/j.exer.2014.01.007
Mencucci R, Mazzotta C, Corvi A, Terracciano L, Rechichi M, Matteoli S. In vivo thermographic analysis of the corneal surface in keratoconic patients undergoing riboflavin-UV-A accelerated cross-linking. Cornea. 2015;34(3):323-7. https://doi.org/10.1097/ICO.0000000000000324
Sniegowski MC, Erlanger M, Olson J. Thermal imaging of corneal transplant rejection. Int Ophthalmol. 2017;1-5 https://doi.org/10.1007/s10792-017-0731-z
Nammalwar P, Narasimhan V, Kannan T. Non-invasive Glaucoma Screening Using Ocular Thermal Image Classification. 2017;25(3):227-36. https://doi.org/10.20532/cit.2017.1003412
Fabiani C, Li Voti R, Rusciano D, Mutolo MG, Pescosolido N. Relationship between Corneal Temperature and Intraocular Pressure in Healthy Individuals: A Clinical Thermographic Analysis. J Ophthalmol. 2016;2016. https://doi.org/10.1155/2016/3076031
Shih SR, Li HY, Hsiao YL, Chang TC. The application of temperature measurement of the eyes by digital infrared thermal imaging as a prognostic factor of methylprednisolone pulse therapy for Graves' ophthalmopathy. Acta Ophthalmol. 2010;88(5):154-9. https://doi.org/10.1111/j.1755-3768.2010.01941.x
Di Maria C, Allen J, Dickinson J, Neoh C, Perros P. Novel Thermal Imaging Analysis Technique for Detecting Inflammation in Thyroid Eye Disease. J Clin Endocrinol Metab 2014;99(12):4600-6. https://doi.org/10.1210/jc.2014-1957
Sniegowski M, Erlanger M, Velez-Montoya R, Olson JL. Difference in ocular surface temperature by infrared thermography in phakic and pseudophakic patients. Clin Ophthalmol. 2015;9:461-6. https://doi.org/10.2147/OPTH.S69670
Auker CR, Parver LM, T. Doyle, and D. O. Carpenter, "Choroidal blood flow. I. Ocular tissue temperature as a measure of flow," Archives ofOphthalmology, vol. 100, no.8,pp. 1323-1326, 1982. https://doi.org/10.1001/archopht.1982.01030040301020
Mapstone R: Determinants of corneal temperature. Br J Ophthalmol 1968;52:729-741. https://doi.org/10.1136/bjo.52.10.729
Rysä P, Sarvaranta J: Corneal temperature in man and rabbit. Observations made using an infrared camera and a cold chamber. Acta Ophthalmol 1974;52:810-816. https://doi.org/10.1111/j.1755-3768.1974.tb01117.x
Sodi A, Matteoli S, Giacomelli G, Finocchio L, Corvi A, Menchini U. Ocular Surface Temperature in Age-Related Macular Degeneration. Journal of Ophthalmology 2014-281010 https://doi.org/10.1155/2014/281010
Schwartz B: Environmental temperature and the ocular temperature gradient. Arch Ophthalmol 1965;74:237-243. https://doi.org/10.1001/archopht.1965.00970040239022
Freeman RD, Fatt I: Environmental influences on ocular temperature. Invest Ophthalmol 1973;12:596-602.
Aliò J, Padron M: Influence of age on the temperature of the anterior segment of the eye Measurements by infrared thermometry. Ophthalmic Res 1982;14:153-159. https://doi.org/10.1159/000265187
Huber A: Temperaturmessung am Auge. Ophthalmologica 1960;139:351-357. https://doi.org/10.1159/000303721
Mapstone R: Ocular thermography. Br J Ophthalmol 1970;54:751-754. https://doi.org/10.1136/bjo.54.11.751
Efron N, Brennan NA, Hore J, Rieper K: Temperature of the hyperemic bulbar conjunctiva. Curr Eye Res 1988;7:615-618. https://doi.org/10.3109/02713688809031818
Fujishima H, Toda I, Yamada M, Sato N, Tsubota K: Corneal temperature in patients with dry eye evaluated by infrared radiation thermometry. Br J Ophthalmol 1996;80:29-32. https://doi.org/10.1136/bjo.80.1.29
Betney S, Morgan PB, Doyle SJ, Efron N: Corneal temperature changes during photorefractive keratectomy. Cornea 1997;16:158-161. https://doi.org/10.1097/00003226-199703000-00007