Alcon Canada

How Tear Film Instability Occurs

A common cause of tear film instability is corneal surface desiccation. Damage to the corneal epithelial cells means loss of the delicate structures that hold mucins to the eye's surface.

When mucins cannot attach, the water repellant corneal surface is exposed, forcing aqueous components of the tear film away from the damaged area. Thus, the tear film destabilizes, increasing evaporation and diffusion of tears.

When destabilization ("break-up") happens before a blink can occur,
the exposed cornea is subject to further damage.