{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T07:51:10Z","timestamp":1774943470494,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T00:00:00Z","timestamp":1314835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T00:00:00Z","timestamp":1314835200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["OVS"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To evaluate the efficacy of surgical treatment for conjunctivochalasis using the Tear Film Stability Analysis System.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Fifteen eyes of 15 patients (74.5 \u00b1 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\u2010up time (FBUT), and break\u2010up 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>After the surgery, the mean FBUT and BUI values significantly improved from 5.7 \u00b1 3.2 s and 42.8 \u00b1 18.7, respectively, to 8.4 \u00b1 2.5 s and 60.7 \u00b1 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>Surgical treatment for conjunctivochalasis was associated with improvement of tear stability and clinical dry eye symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/opx.0b013e3182223573","type":"journal-article","created":{"date-parts":[[2011,6,24]],"date-time":"2011-06-24T05:48:58Z","timestamp":1308894538000},"page":"1112-1118","source":"Crossref","is-referenced-by-count":24,"title":["Evaluation of Tear Stability After Surgery for Conjunctivochalasis"],"prefix":"10.1002","volume":"88","author":[{"given":"Shuya","family":"Hara","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Social Insurance Chukyo Hospital Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kojima","sequence":"additional","affiliation":[{"name":"Johnson &amp; Johnson Department of Ocular Surface and Visual Optics Keio University School of Medicine Tokyo Japan"},{"name":"Department of Ophthalmology Keio University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reiko","family":"Ishida","sequence":"additional","affiliation":[{"name":"Ishida Eye Clinic Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiki","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Tsurumi Dental College Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukihiro","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Johnson &amp; Johnson Department of Ocular Surface and Visual Optics Keio University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minako","family":"Kaido","sequence":"additional","affiliation":[{"name":"Johnson &amp; Johnson Department of Ocular Surface and Visual Optics Keio University School of Medicine Tokyo Japan"},{"name":"Department of Ophthalmology Keio University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Shimazaki","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Tokyo Dental College Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Dogru","sequence":"additional","affiliation":[{"name":"Johnson &amp; Johnson Department of Ocular Surface and Visual Optics Keio University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuo","family":"Tsubota","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Keio University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,9,1]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/00002341-198601040-00005","article-title":"Conjunctivochalasis. 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