{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:09:35Z","timestamp":1787170175547,"version":"build-2736575974"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Purpose To determine if childhood obesity has an effect on the ocular surface and tear film of children who are afflicted.<\/jats:p>\n                  <jats:p>Methods Patients who had childhood obesity, 85 eyes, and patients who were healthy, 75 eyes, were enrolled in this prospective and comparative study. The tear film breakup time\n\t\t\t\t\t(TF-BUT), tear meniscus area and height (TMA and TMH) values, Schirmer test scores, and ocular surface disease index (OSDI) scores were obtained for all participants.<\/jats:p>\n                  <jats:p>Results The TMH, TMA, TF-BUT, and Schirmer test results were statistically significantly lower in the obesity group (p\u2009&lt;\u20090.001 for all). The children with obesity and insulin\n\t\t\t\t\tresistance had lower TMH, TMA, TF-BUT, and Schirmer test results when compared to the children without insulin resistance (p\u2009&lt;\u20090.05 for all). The body mass index was found to be\n\t\t\t\t\tcorrelated with the TMH, TMA, TF-BUT, and Schirmer test results (p\u2009&lt;\u20090.001 for all).<\/jats:p>\n                  <jats:p>Conclusion Children with obesity had lower TMA, TMH, TF-BUT, and Schirmer test results than healthy subjects. When insulin resistance was added to obesity, these values were even\n\t\t\t\t\tlower.<\/jats:p>","DOI":"10.1055\/a-1668-0276","type":"journal-article","created":{"date-parts":[[2021,12,15]],"date-time":"2021-12-15T19:00:22Z","timestamp":1639594822000},"page":"331-337","source":"Crossref","is-referenced-by-count":5,"title":["Assessment of Tear Film Anomalies in Childhood Obesity"],"prefix":"10.1055","volume":"239","author":[{"given":"Alper Halil","family":"Bayat","sequence":"additional","affiliation":[{"name":"Ophthalmology, Istanbul Medipol University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6969-0095","authenticated-orcid":false,"given":"Emre","family":"Aydemir","sequence":"additional","affiliation":[{"name":"Ophthalmology, Adiyaman Universitesi Egitim ve Arastirma Hastanesi, Adiyaman, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5708-9283","authenticated-orcid":false,"given":"Gozde Aksoy","family":"Aydemir","sequence":"additional","affiliation":[{"name":"Ophthalmology, Adiyaman Universitesi Egitim ve Arastirma Hastanesi, Adiyaman, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasim","family":"Gencer","sequence":"additional","affiliation":[{"name":"Pediatrics, Istanbul Medipol University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,12,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1046\/j.1442-9071.2003.00634.x","article-title":"Prevalence and associations of dry eye syndrome in an older population: the Blue Mountains Eye Study","volume":"31","author":"E M Chia","year":"2003","journal-title":"Clin Exp 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