TY - JOUR
T1 - Evaluation of tear stability after surgery for conjunctivochalasis
AU - Hara, Shuya
AU - Kojima, Takashi
AU - Ishida, Reiko
AU - Goto, Eiki
AU - Matsumoto, Yukihiro
AU - Kaido, Minako
AU - Shimazaki, Jun
AU - Dogru, Murat
AU - Tsubota, Kazuo
PY - 2011/9/1
Y1 - 2011/9/1
N2 - Purpose.: To evaluate the efficacy of surgical treatment for conjunctivochalasis using the Tear Film Stability Analysis System. Methods.: Fifteen eyes of 15 patients (74.5 ± 4.8 years; 14 females and 1 male) who had surgical reconstruction of the tear meniscus for conjunctivochalasis underwent evaluation with a symptom questionnaire, Schirmer I test, fluorescein tear film break-up time (FBUT), and break-up time index (BUI) measurement by Tear Film Stability Analysis System examinations that were performed preoperatively and 3 months after the surgery. Changes of these tear parameters were statistically analyzed using the paired t test. Results.: After the surgery, the mean FBUT and BUI values significantly improved from 5.7 ± 3.2 s and 42.8 ± 18.7, respectively, to 8.4 ± 2.5 s and 60.7 ± 16.5, respectively (FBUT, p = 0.0438; BUI, p = 0.0036). The mean Schirmer test value showed no significant changes before and after surgery (p = 0.9064). Fourteen eyes (93.3%) had improvement of ocular symptoms after surgery. One eye (6.7%) with no improvement of ocular symptoms, FBUT, and BUI after surgery appeared to have aqueous tear deficiency. Conclusions.: Surgical treatment for conjunctivochalasis was associated with improvement of tear stability and clinical dry eye symptoms.
AB - Purpose.: To evaluate the efficacy of surgical treatment for conjunctivochalasis using the Tear Film Stability Analysis System. Methods.: Fifteen eyes of 15 patients (74.5 ± 4.8 years; 14 females and 1 male) who had surgical reconstruction of the tear meniscus for conjunctivochalasis underwent evaluation with a symptom questionnaire, Schirmer I test, fluorescein tear film break-up time (FBUT), and break-up time index (BUI) measurement by Tear Film Stability Analysis System examinations that were performed preoperatively and 3 months after the surgery. Changes of these tear parameters were statistically analyzed using the paired t test. Results.: After the surgery, the mean FBUT and BUI values significantly improved from 5.7 ± 3.2 s and 42.8 ± 18.7, respectively, to 8.4 ± 2.5 s and 60.7 ± 16.5, respectively (FBUT, p = 0.0438; BUI, p = 0.0036). The mean Schirmer test value showed no significant changes before and after surgery (p = 0.9064). Fourteen eyes (93.3%) had improvement of ocular symptoms after surgery. One eye (6.7%) with no improvement of ocular symptoms, FBUT, and BUI after surgery appeared to have aqueous tear deficiency. Conclusions.: Surgical treatment for conjunctivochalasis was associated with improvement of tear stability and clinical dry eye symptoms.
KW - conjunctivochalasis
KW - non-invasive tear break-up time
KW - tear film stability
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U2 - 10.1097/OPX.0b013e3182223573
DO - 10.1097/OPX.0b013e3182223573
M3 - Article
C2 - 21705941
AN - SCOPUS:80052478612
VL - 88
SP - 1112
EP - 1118
JO - Optometry and Vision Science
JF - Optometry and Vision Science
SN - 1040-5488
IS - 9
ER -