Evaluation of tear stability after surgery for conjunctivochalasis

Optom Vis Sci. 2011 Sep;88(9):1112-8. doi: 10.1097/OPX.0b013e3182223573.

Abstract

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.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Conjunctival Diseases / diagnosis*
  • Conjunctival Diseases / metabolism
  • Conjunctival Diseases / surgery
  • Dry Eye Syndromes / diagnosis*
  • Dry Eye Syndromes / metabolism
  • Dry Eye Syndromes / surgery
  • Female
  • Fluorescein
  • Fluorescent Dyes
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Ophthalmic Solutions
  • Ophthalmologic Surgical Procedures*
  • Postoperative Period
  • Reproducibility of Results
  • Surface Properties
  • Surveys and Questionnaires
  • Tears / chemistry*
  • Treatment Outcome

Substances

  • Fluorescent Dyes
  • Ophthalmic Solutions
  • Fluorescein