{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T17:16:28Z","timestamp":1784567788869,"version":"3.55.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess signs of dry eye syndrome in keratoconic eyes following intracorneal ring segment (ICRS) implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and methods:<\/jats:title>\n                    <jats:p>Twenty eyes of 20 consecutive patients with keratoconus were assessed for tear film changes following ICRS implantation at 6\u2009months postoperatively. Evaluated parameters included tear osmolarity, non-invasive tear breakup time test (NI-BUT test) and Schirmer test I and II before and after treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>No significant changes were found with respect to osmolarity, Schirmer I and II ( p\u2009=\u20090.9, p\u2009&lt;\u20090.64, and p\u2009&lt;\u20090.91, respectively). The NITUBT was significantly lower after surgery ( p\u2009=\u20090.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our results suggest that implantation of ICRS does not result in a significant change in tear film osmolarity, or tear film volume nor improves the tear film stability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120958301","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T04:01:08Z","timestamp":1600660868000},"page":"2213-2218","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Tear film parameters before and after intracorneal ring segment implantation in keratoconic 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