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Eyeglasses-based tear biosensing system: Non-invasive detection of alcohol, vitamins and glucose
Open accessAbstract
We report on a wearable tear bioelectronic platform, integrating a microfluidic electrochemical detector into an eyeglasses nose-bridge pad, for non-invasive monitoring of key tear biomarkers. The alcohol-oxidase (AOx) biosensing fluidic system allowed real-time tear collection and direct alcohol measurements in stimulated tears, leading to the first wearable platform for tear alcohol monitoring. Placed outside the eye region this fully wearable tear-sensing platform addresses drawbacks of sensor systems involving direct contact with the eye as the contact lenses platform. Integrating the wireless electronic circuitry into the eyeglasses frame thus yielded a fully portable, convenient-to-use fashionable sensing device. The tear alcohol sensing concept was demonstrated for monitoring of alcohol intake in human subjects over multiple drinking courses, displaying good correlation to parallel BAC measurements. We also demonstrate for the first time the ability to monitor tear glucose outside the eye and the utility of wearable devices for monitoring vitamin nutrients in connection to enzymatic flow detector and rapid voltammetric scanning, respectively. These developments pave the way to build an effective eyeglasses system capable of chemical tear analysis.
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“Despite some efforts, several challenges remain, such as difficulty in sampling tears, small sample volumes, issues with fast evaporation, dependence of tear composition on emotional or mechanical stimulation, and reliable operation of fully integrated wireless sensing platforms [126,152].”
From The emergence of AI-based wearable sensors for digital health technology: a review (2023) · cites this paper as [152]
In the citing paper
“In one of the most recent works, Sempionatto et al. [152] used a non-invasive wearable tear biosensor system mounted on eyeglasses for real-time monitoring of different analytes, including alcohol, vitamins such as vitamin B2 and B6, and glucose in tears (Figure 6c).”
From The emergence of AI-based wearable sensors for digital health technology: a review (2023) · cites this paper as [152]
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“This system requires stimulation of the eye before tears can be collected for real-time monitoring of different target analytes, such as alcohol, vitamins, and glucose in tears (Figure 8A) [49].”
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Singh, R., Nema, P., Purohit, A., Vishwakarma, S., Tantuway, S., Namdeo, P., Kumar, A., Soni, V., & Kashaw, S. K. (2025) · Talanta · doi:10.1016/j.talanta.2025.129045 · Cited by 13
Printed Devices for Wearable Biosensors: Laboratory to Emerging Markets
Jeerapan, I., & Khumngern, S. (2023) · IEEE Journal on Flexible Electronics · doi:10.1109/jflex.2023.3272624 · Cited by 13
“Wearable and flexible sensors measure biochemical markers in biofluids, e.g., sweat [4], tears [5], saliva [6], and interstitial fluid [7] to provide continuous, real-time physiological information, offering applications such as continuous glucose monitoring (CGM) [8].”
BackgroundFluid-based wearable sensors: a turning point in personalized healthcare
VURAL, B., Uludağ, İ., İNCE, B., Özyurt, C., ÖZTÜRK, F., & Sezgintürk, M. K. (2023) · TURKISH JOURNAL OF CHEMISTRY · doi:10.55730/1300-0527.3588 · Cited by 14
“In 2019, Sempionatto et al. created a noninvasive wearable tear alcohol biosensor fitted on glasses for the first time [89].”
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Antony, A. (2024) · Springer tracts in electrical and electronics engineering · doi:10.1007/978-981-97-3048-3_12 · Cited by 14
Toward the Next Generation Human–Machine Interaction: Headworn Wearable Devices
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Tear Fluid as a Matrix for Biomonitoring Environmental and Chemical Exposures
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“In recent years, various wearable enzyme-based glucose biosensors have been developed for the analysis of ISF [15], sweat [16], and tears [17].”
Peng, M., Ning, Y., Zhang, J. W., He, Y., Xu, Z., Li, D., Yang, Y., & Ren, T.-L. (2026) · Biosensors · doi:10.3390/bios16010046 · Cited by 16
Flexible biochemical sensors for point-of-care management of diseases: a review
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Development and Performance Evaluation of an IoT-Integrated Breath Analyzer
Khamis, A. A., Idris, A., Abdellatif, A., Rom, N. A. M., Khamis, T., Karim, M. S. A., Janasekaran, S., & Rashid, R. B. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021319 · Cited by 12
“[39] reported a wearable biosensor based on using eyeglasses, and the device collects tears and analyses them.”
BackgroundElectrochemical and Nanomaterial‐Based Strategies for Nonenzymatic Glucose Detection: A Review
Aviha, R., & Slaughter, G. E. (2025) · ChemistryOpen · doi:10.1002/open.202500304 · Cited by 11
Emerging Applications of Electrochemical Impedance Spectroscopy in Tear Film Analysis
Ozdalgic, B., Gul, M., Uygun, Z. O., Atçeken, N., & Taşoğlu, S. (2022) · Biosensors · doi:10.3390/bios12100827 · Cited by 12
“Eyeglasses Alcohol, glucose, vitamins Alcohol-oxidase (AOx) biosensing fluidic system [14]”
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Wearable SERS devices in health management: Challenges and prospects
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Zhang, K., Han, L., Cai, H., Xue, X., Song, Y., Xin, W., Wang, Y., Liu, P., & Liu, J. (2025) · BMEMat · doi:10.1002/bmm2.70047 · Cited by 10
Toward clinical translation of biosensors for chronic kidney disease
Rath, R. J., Talebian, S., Mayol, B., Ding, S., Brasier, N., Jeerapan, I., Sempionatto, J. R., Naficy, S., & Silva, S. M. (2025) · Biosensors and Bioelectronics · doi:10.1016/j.bios.2025.118328 · Cited by 10
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Kim, H. S., Ahn, K., Han, B. Y., Haque, A. J., Kim, S.-J., Kim, J., Wee, Y., & Kim, J. (2024) · Biosensors and Bioelectronics · doi:10.1016/j.bios.2024.116841 · Cited by 9
Metadata
- Authors
- Sempionatto, J. R., Brazaca, L. C., García-Carmona, L., Bolat, G., Campbell, A. S., Martin, A., Tang, G., Shah, R., Mishra, R. K., Kim, J., Zucolotto, V., Escarpa, A., & Wang, J.
- Affiliations
- University of California San Diego (US)
- Universidade de São Paulo (BR)
- Universidad de Alcalá (ES)
- Corresponding author
- Wang, Joseph
- ORCID
- Venue
- Biosensors and Bioelectronics
- Publisher
- Elsevier BV
- Published
- 2019-07
- Volume
- 137
- Pages
- 161-170
- ISSN
- 0956-5663 (ISSN-L)
- PMC
- PMC8372769
- OpenAlex
- W2944569697
- Cited by
- 315
- References
- 54
- Citations by year
- 2026: 27 · 2025: 58 · 2024: 48 · 2023: 56 · 2022: 50 · 2021: 42 · 2020: 29 · 2019: 5
- FWCI
- 11.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Biosensors and Bioelectronics (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Defense Threat Reduction Agency Joint Science
- Technology Office for Chemical and Biological Defense (HDTRA 1-16-1-0013)
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (216981/2014-0)
- Sao Paulo Research Foundation (FAPESP) (2017/03779-0)
- University of Alcala
- Scientific and Technological Research Council of Turkey (TUBITAK 2219)
- NIH NIAAA T32 (AA013525)
- Topics
- Physical Sciences › Chemistry › Analytical Chemistry › Electrochemical sensors and biosensors
- Physical Sciences › Engineering › Biomedical Engineering › Advanced Sensor and Energy Harvesting Materials
- Physical Sciences › Engineering › Biomedical Engineering › Biosensors and Analytical Detection
- Keywords
- spectacle, wearable sensors, alcohol detection, alcohol oxidase, tear glucose, non-invasive monitoring, blood alcohol concentration, wireless devices
- MeSH terms
- Wearable Electronic Devices, Alcohols, Eyeglasses, Glucose, Humans, Monitoring, Physiologic, Tears, Vitamins, Biosensing Techniques
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