The Changes in Tear Film after Primary Pterygium Operation.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3341/jkos.2013.54.11.1649
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Nam Eok KIM
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Sang Soo KIM
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. eyerheu@hanafos.com
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Pterygium;
			        		
			        		
			        		
				        		Pterygium operation;
			        		
			        		
			        		
				        		Tear film function
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Humans;
				        		
			        		
				        		
					        		Pterygium*;
				        		
			        		
				        		
					        		Tears*
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Journal of the Korean Ophthalmological Society
	            		
	            		 2013;54(11):1649-1654
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:Korean
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	PURPOSE: In this study we evaluated the changes in tear film after primary pterygium operation in patients with pterygium. METHODS: We investigated 43 eyes of 42 subjects who showed successful results 3 months after pterygium operation performed by one surgeon. The changes in tear film thickness, tear break-up time (BUT), Schirmer I test, and ocular surface disease index (OSDI) were evaluated. All values were compared before and after surgery. RESULTS: The mean age was 58.0 +/- 11.1 years (34-81 years). Preoperative tear film thickness, tear BUT, and Schirmer I test in eyes which underwent pterygium operation were 21.53 +/- 5.93 microm, 4.84 +/- 2.21 seconds, and 11.67 +/- 6.75 mm, respectively. Three months after the operation, the respective values were 24.23 +/- 4.19 microm (p < 0.05), 5.81 +/- 1.89 seconds (p < 0.05), and 13.02 +/- 7.54 mm (p = 0.094). Tear film thickness and BUT score increased significantly after pterygium operation. There was no statistically significant difference in Schirmer I test, before and 3 months after pterygium operation. The subjective parameter (OSDI) improved 3 months after pterygium operation (p = 0.015). CONCLUSIONS: Pterygium operation can partially restore the tear film function into a normal state by improving tear film thickness and tear BUT after pterygium operation.