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Updated: May 31, 2026
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Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Evaluation of tear stability after surgery for conjunctivochalasis
Shuya Hara1, Takashi Kojima, Reiko Ishida
1Department of Ophthalmology, Social Insurance Chukyo Hospital, Aichi, Japan.
Summary
Surgical reconstruction of the tear meniscus improved tear film stability and dry eye symptoms in patients with conjunctivochalasis. The study utilized the Tear Film Stability Analysis System for evaluation.
Area of Science:
- Ophthalmology
- Ocular Surface Disease
Background:
- Conjunctivochalasis is a condition characterized by redundant conjunctiva that can lead to ocular discomfort and tear film instability.
- Surgical intervention aims to restore the normal anatomical structure of the tear meniscus.
Purpose of the Study:
- To assess the efficacy of surgical tear meniscus reconstruction for conjunctivochalasis.
- To evaluate the impact of surgery on tear film stability using the Tear Film Stability Analysis System.
Main Methods:
- Fifteen patients with conjunctivochalasis underwent surgical tear meniscus reconstruction.
- Preoperative and 3-month postoperative evaluations included symptom questionnaires, Schirmer I test, fluorescein tear film break-up time (FBUT), and break-up time index (BUI) measured by Tear Film Stability Analysis System.
- Paired t-tests were used for statistical analysis.
Main Results:
- Significant improvements were observed in mean FBUT (5.7s to 8.4s, p=0.0438) and BUI (42.8 to 60.7, p=0.0036) post-surgery.
- Ocular symptoms improved in 93.3% of patients.
- No significant change in Schirmer I test values was noted (p=0.9064).
Conclusions:
- Surgical treatment for conjunctivochalasis effectively improves tear stability.
- The procedure is associated with a significant reduction in clinical dry eye symptoms.
