J Korean Ophthalmol Soc > Volume 56(4); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(4):509-514.
DOI: https://doi.org/10.3341/jkos.2015.56.4.509    Published online April 15, 2015.
Changes in Area of Conjunctiva and Tear Meniscus Measured Using Anterior Segment Optical Coherence Tomography after Conjunctivochalasis Surgery.
Jong Soo Kim, Jeong Bum Bae, Jang Won Seo, Woo Chan Park
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea. wcpark@dau.ac.kr
전안부 빛간섭 단층촬영을 이용해 측정한 결막이완증 수술 전후의 결막 및 눈물띠 면적 변화
김종수⋅배정범⋅서장원⋅박우찬
동아대학교 의과대학 안과학교실
Abstract
PURPOSE
To evaluate cross-sectional areas of conjunctiva and tear meniscus of conjunctivochalasis using Fourier-Domain RTVue-100 optical coherence tomography (OCT) before and after conjunctivochalasis surgery. METHODS: Thirty-one patients (33 eyes) with symptomatic conjunctivochalasis were recruited for this study between June 2013 and April 2014. All patients underwent crescent-shaped conjunctiva resection and amniotic membrane transplantation. Anterior segment OCT (AS-OCT) imaging was performed and tear break-up time was evaluated prior to and 3 months after the conjunctivochalasis surgery. Cross-sectional areas of conjunctiva and tear meniscus of conjunctivochalasis at 7 locations (1 center, 3 nasal and 3 temporal areas) were measured in all patients. RESULTS: The mean age of patients was 66.3 +/- 10.8 years. Cross-sectional areas of conjunctivochalasis at all locations significantly decreased from 0.487 +/- 0.42 mm2 to 0.007 +/- 0.011 mm2 (p < 0.001), whereas no significant changes in cross-sectional areas of tear meniscus at all 7 locations were observed after the surgery. Mean tear break-up time significantly increased from 2.26 +/- 0.69 sec to 3.81 +/- 1.22 sec following the surgery. CONCLUSIONS: Using AS-OCT, in this study we showed that areas of conjunctiva decreased and areas of tear meniscus were unchanged after conjunctivochalasis surgery.
Key Words: Amniotic membrane transplantation;Anterior segment optical coherence tomography;Conjunctivochalasis;Tear meniscus


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