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Association between tear meniscus dimensions and higher-order aberrations in patients with surgically treated lacrimal passage obstruction

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Abstract

Purpose

To analyze the relationship between tear meniscus dimensions and higher-order aberrations (HOAs) in patients with lacrimal passage obstruction using anterior segment optical coherence tomography (AS-OCT).

Methods

This study was a retrospective observational study of 71 eyes of 49 patients with lacrimal passage obstruction. These patients received sheath-guided dacryoendoscopic probing and bicanalicular intubation (SG-BCI) at Toyama University Hospital between August 2020 and October 2021. Using AS-OCT, tear meniscus height (TMH), tear meniscus area (TMA), and total corneal HOAs values were measured before and after surgery.

Results

Surgical success was achieved in 69 eyes (97.1%). At the final observation, 62 eyes showed lacrimal patency (89.8%). The preoperative TMH, TMA, and HOAs values were 1.55 ± 0.96 mm, 0.11 ± 0.14 mm2, and 0.37 ± 0.27 µm, respectively, and the final postoperative TMH, TMA, and HOAs values were 0.97 ± 0.74 mm (p < 0.0001), 0.06 ± 0.11 mm2 (p = 0.02), and 0.29 ± 0.16 µm (p = 0.001), respectively. The results showed a significant improvement. The changes in HOAs before and after surgery were positively correlated with the changes in TMH (r = 0.3476, p = 0.0241) and TMA (r = 0.3653, p = 0.0174).

Conclusion

SG-BCI for lacrimal passage obstruction resulted in a significant decrease in measured HOAs. The decrease in HOAs was correlated with decreases in tear meniscus dimensions.

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Acknowledgements

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Departments of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan

    Aya Taniguchi, Tatsuya Yunoki, Toshihiko Oiwake & Atsushi Hayashi

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  1. Aya Taniguchi
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  2. Tatsuya Yunoki
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  3. Toshihiko Oiwake
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  4. Atsushi Hayashi
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Contributions

TY and AH wrote the main manuscript text, and AT and TO prepared Figs. 1–5 and Table 1–2. All authors reviewed the manuscript.

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Correspondence to Tatsuya Yunoki.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Taniguchi, A., Yunoki, T., Oiwake, T. et al. Association between tear meniscus dimensions and higher-order aberrations in patients with surgically treated lacrimal passage obstruction. Int Ophthalmol 43, 1135–1141 (2023). https://doi.org/10.1007/s10792-022-02511-2

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  • DOI: https://doi.org/10.1007/s10792-022-02511-2

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