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Assessment of the tear film in normal eye subjects after consumption of a single dose of hot peppermint drink

Authors Masmali AM, Alanazi SA, Almagren B, El-Hiti GA

Received 27 February 2019

Accepted for publication 2 April 2019

Published 26 April 2019 Volume 2019:11 Pages 39—45


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Mr Simon Berry

Ali M Masmali, Saud A Alanazi, Bader Almagren, Gamal A El-Hiti

Cornea Research Chair, Department of Optometry, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia

Objective: To test the effect of a single dose of hot peppermint consumption on the tear film in normal eye subjects.
Methods: Thirty healthy male subjects aged 18–39 years (23.20±2.17 years) were enrolled. Also, an age-matched control group of 30 male subjects (19–39 years, 23.50±0.70 years) was enrolled to test the effect of the hot water. Tear meniscus height (TMH), noninvasive tear breakup time (NITBUT), and tear ferning (TF) tests were performed for each patient 30 mins before and 60 mins after they drank hot peppermint.
Results: Mean TMH measurements were higher postintervention (0.32±0.07) than preintervention (0.27±0.04 mm). Similarly, mean TF grades were significantly higher (2.07±1.20) postintervention than preintervention (0.84±0.71). By contrast, mean NITBUT was lower postintervention than preintervention (11.57±3.17 and 15.84±3.36, respectively). TMH measurements increased in 90% of the subjects. Conversely, NITBUT decreased in 96.7% of the subjects. For the control group that tests the effect of drinking hot water, the scores did not differ significantly in the three tests pre- and postintervention (P˂0.05). TF grades increased in 93.3% of the subjects, postintervention.
Conclusion: Tear film quality decreases significantly after peppermint beverage consumption. A similar observation has been made on the consumption of hot green tea drink.

Keywords: peppermint drink, tear film, tear ferning test, phenol red thread test, eye dryness, polyphenols

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