Delivery of meibomian oil using the Clinical Meibometer.
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Biomedical subjects
Publications and source records attributed to S Dikstein.
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The knowledge of the skin surface pH-acid mantle is updated. The conviction that chronic alkalinization is damaging has been strengthened. Extensive skin surface pH data on the skin of non-white people are still missing. In the case of any measurement, the need for extensive infrastructural research and evaluation by non-parametric methods is emphasized. Infrastructural studies evaluate the range and change of the measured parameters for each test method according to sex, age and body area, as well as the sensitivity of the method to pharmacological influences. A detailed knowledge of the normal-representative range would make it possible to select those individuals whose measured parameter is outside the main 95% of the population; a detailed study of such individuals would be a very effective method of understanding the basic regulatory mechanism of the measured parameter.
The response of the skin to common in vivo tests (in-plane uniaxial stretch, torsion, indentation and levarometry) is analyzed in terms of their suitability for ageing studies. The analysis suggests that low-load indentation and small deformation levarometry are well suited for ageing studies since the skin response under these tests can be directly related to its structure and constituent properties (known to be affected by ageing). The measured forehead skin response under these tests in 'young' (20-26 years) and 'old' (64-80 years) subjects is presented and compared with predictions of corresponding models. The results show that levarometry is more sensitive to ageing than indentometry.
An instrument, the Meibometer, is described for estimating the casual level of meibomian lipid on the human eyelid margins, adapted from a commercially-available instrument used for measurement of skin surface lipid. A loop of plastic tape is pressed onto the everted lower lid margin to lift off a blot of lipid. The resultant change in light transmission of the tape is read by a photometer. Readings are not affected by side (R or L), time of day or lid surface temperature. After cleaning lipid from the lid margins with hexane, the rate of recovery per 10 blinks, as a percentage of the pre-cleaned level, was measured as 33.7 +/- 5.8 (mean +/- SE). This rate of delivery appears to provide enough lipid for complete resurfacing of the preocular tear film with every blink. Over short periods no detectable lipid was delivered in the absence of blinking.
Using a modified skin surface lipid measuring instrument, the Meibometer, the amounts of meibomian lipid on the lid margins (the casual levels) of 421 subjects aged 1 to 94 years were measured. The lowest levels were found in children younger than 14 years (means +/- S.E.: males = 1.48 +/- 0.17, females = 1.53 +/- 0.17 micrograms lipid/mm2 lid margin surface) and rose with age, the highest levels being found in males aged 60-69 years (mean +/- S.E. = 3.26 +/- 0.18 micrograms lipid/mm2 lid margin surface). Male levels were higher than females in the 20-29 years age group but male and female levels became indistinguishable above the age of 50. These age- and sex-related changes differed markedly from those seen in skin surface lipid levels. The age-related changes in the casual levels of lid lipids remain unexplained although an endocrinological mechanism modified by morphological factors is considered.
Direct measurements of sebum with the Sebumeter were used in a patient with a benign androgen-producing tumor of the ovary. Androgen levels fell immediately after surgery, whereas the markedly elevated sebum levels found preoperatively dropped to normal after a delay of more than 2 weeks. Therefore, the Subumeter, due to its simplicity, may be useful for the preliminary screening and follow-up of patients with hyperandrogenic states.
Indentation tests were carried out on the forehead skin of volunteers under loading pressures of 0-5 KPa. The indentation was found to increase asymptomatically with loading pressure. In an attempt to develop a quantitative index for aging of the skin, its response to indentation loading was analyzed in reference to its glycosaminoglycan (GAG) containing ground substance and fibers' network microstructure. An analytic model that considers the skin as an incompressible solid-fluid mixture was developed and utilized to simulate the skin's indentation response. Following parameter fitting, the predicted results are in close agreement with the data. The model can thus serve as a tool for evaluating the effect of changes in the dermis components which accompany aging.
Skin ageing was studied with a noninvasive method: indentometry. We measured two rheological parameters: resistance to pressure, indentation, under the pressure of 10 g/cm2, and elastic rebound, elasticity, after the removal of the pressure. We studied three different populations: cloistered nuns, white collar and blue collar workers. We found in all populations a steady decrease in elasticity as a function of age; this effect was always steeper in females. The working women lost their elasticity more rapidly than the nuns, and the male blue collar workers lost their elasticity more rapidly than the male white collar workers. The development of indentation as a function of age is somewhat different. The white collar males showed a steady loss of resistance to pressure with age much more rapidly than their blue collar counterparts. The females showed either a biphasic change (the nuns), no change at all (the white collar workers) or a loss of resistance to pressure (the blue collar workers). These results show that professional as well as social factors may influence skin ageing.
Local, externally applied pharmacological agents which are assumed to raise the c-AMP level, decrease the low pressure indentation value of the forehead skin of certain human volunteers.
The survival time of perfused endothelium is doubled in presence of the free radical scavengers superoxide dismutase and catalase.
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N,N-dimethyl para-methoxyphenylethylamine prevents hypertension and reverses existing high blood pressure in DOCA-saline treated rats. Indomethacin prevents its hypotensive effect, therefore the suggested mechanism is increase in prostaglandin(s) synthesis. The effect of the usual receptor antagonists on the hypotensive effect of the title compound can also be fitted into the framework of this hypothesis.
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High blood pressure in DOCA-saline treated uninephrectomised rats is prevented or even reversed by tyrosine, tyramine or by treatments which - based on circumstantial evidence - might increase local brain tyramine concentration.
GABA and its analogues were shown to activate the rabbit corneal endothelial fluid pump in the micromolar range. The stimulation was abolished by bicuculline and chlorpromazine, but not by picrotoxin.
Induced high intraocular pressure, lasting more than one hour, is described in the rabbit. We inject simultaneously inside aqueous humor Epsilon Amino Caproic Acid 5 mg and Thrombin 20 U.S.N.I.H. units. To avoid leakage of aqueous humor we make the injection though a nou-perforating corneal preplaced loep and sight the suture to close the track when injection needle is taken out. We assume that high intraocular pressure is induced by 1% Adrenaline, 2% Pilocarpine and 1% Guanethidine solutions dropped in the eye each 5 mn, beginning 15 mn before anterior chamber injection and lasting during all the experiment. We point out this fact as a proof of the suitability of this method.