Determination of pH by colorimetry in small tear samples. Simple method for pH measuring in ophthalmological diseases of the anterior ocular surface
DOI:
https://doi.org/10.33064/iycuaa2019761790Keywords:
bromothymol blue, anterior ocular surface, tear, pHAbstract
There are no simple methods in clinical practice to quantify tear pH. Our objective was to standardize a method for the determination of pH in small tear samples of patients. A colorimetric scale was constructed in a pH range of 6 to 8.0 using bromothymol blue as indicator, with 0.1M KH2PO4 (constant) and ascending volumes of 0.1M NaOH. The method was validated in 20 uL of tear of 73 subjects, in whom it was possible to distinguish changes in the pH from 0.2 in 0.2 in a range of 6.0 to 8.0 with a coefficient of intrasubject variation of 0.8 to 4.0%. The method presented here is precise, with low inter-assay variation. This, combined with its simplicity, low cost and small sample volume, make it an alternative for monitoring the pH of the tear either, in the patient's bed or in primary care.
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