RT Journal Article T1 Lower tear meniscus height measured by optical coherence tomography in children A1 Martín García, Beatriz A1 Palomo Álvarez, Catalina A1 Piedrahita Alonso, María Elena A1 Gómez de Liaño, Rosario A1 Fuentes Ferrer, Manuel A1 Arriola Villalobos, Pedro AB Introduction: While optical coherence tomography (OCT) measurements of the lower tear meniscus height (LTMH) have been reported in adults, here we obtained LTMH measurements through Fourier Domain OCT in healthy children and compared these with values obtained in healthy adults.Methods: Participants were children 7–17 years of age and a control group of adults 20–40 years of age. Inclusion criteria were no abnormal eye conditions or the use of contact lenses. Candidates who fulfilled the TFOS DEWS II criteria for dry eye disease (DED) were excluded. All subjects underwent LTMH measurement (OCT Spectralis) and tests for non-invasive tear break-up time and ocular surface staining. Participants also completed the ocular surface disease index questionnaire.Results: A total of 86 children and 27 adults were included. Mean LTMH values in the children and adult groups were 217.40 ± 71.40 μm and 225.0 ± 54.86 μm, respectively; p = 0.53. However, 59.3% of the children had an LTMH ≤210 μm suggestive of DED, compared with only 33.3% of adults (p = 0.02). For the children, no significant differences in LTMH were observed with sex or for those more or less than 12 years of age.Conclusions: Optical coherence tomography-derived LTMH measurements were obtained in healthy children. While values were similar in children and adults, a greater proportion of children had an LTMH compatible with a diagnosis of DED. More studies in different paediatric populations are required to establish a complete set of normative LTMH measurements. PB WILEY-BLACKWELL Publishing SN 0275-5408 YR 2023 FD 2023-04-27 LK https://hdl.handle.net/20.500.14352/73397 UL https://hdl.handle.net/20.500.14352/73397 LA eng DS Docta Complutense RD 7 may 2024