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Customers with short TFBUT were included for additional evaluation when their OSDI was ≥23, FTBUT≤5, and Schirmer5 mm. They were subdivided into short-BUT and brief BUT with SPK subgroups according to the absence or presence of corneal fluorescein-stain. The NOST types of the standard, short-BUT and short however with SPK groups were independently constructed while the potential of testing analyzed via ROC curves. OUTCOMES Each rip film type had a unique NOST