TBUT and NITBUT (tear break-up time and noninvasive tear break-up time
, respectively) were measured on four groups of subjects from differen
t countries (two groups of Caucasians, two groups of Chinese). No sign
ificant difference was found in either TBUT or NITBUT values among the
four groups of subjects. Gender of the subjects was not a factor affe
cting the TBUT or NITBUT values. The distributions of both NITBUT and
TBUT were non-Gaussian and the median value of either parameter was lo
wer than those previously reported. The NITBUT values were significant
ly higher than the TBUT values in both Caucasian and Chinese subjects.
An investigation into the extent of agreement between the TBUT and NI
TBUT methods of assessing tear stability indicated that these methods
do not agree sufficiently closely (that is, tear stability Values meas
ured with the NITBUT technique do not agree with those measured with t
he TBUT technique); short average tear break-up values are associated
with small differences between the measures, whereas long average tear
break-up values are associated with large differences between the mea
sures.