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Evaluation of the Effect of Dermatochalasis and Upper Eyelid Blepharoplasty Surgery on Corneal Epithelial Thickness Alterations

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  • Oculoplastic
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Abstract

Background

The aim of this study was to assess the effect of different grades of dermatochalasis (DC) and upper eyelid blepharoplasty (UEB) surgery on corneal epithelial thickness (CET), objectively using anterior segment-optical coherence tomography (AS-OCT) measurements.

Methods

90 eyes of patients with DC were divided into three groups according to the severity of the DC. Forty-one eyes of age and sex-matched patients without DC were randomly selected as the control group. The study did not include patients with more than 2 D of spherical refractive error and more than 1.5 D of astigmatism, a history of previous eyelid surgery, ocular surface disease, contact lens use, and ophthalmic eye drop use. CET measurements of all the patients were performed with an AS-OCT (RTVue-XR, Optovue Inc., USA).

Results

There were statistically significant differences in the CET of the superior, superonasal, superotemporal, inferotemporal, and temporal sectors between the DC and control groups (p = 0.001, p = 0.02, p = 0.03, p = 0.02, p = 0.04, respectively). While there were no differences in CET among the sectors of the control group, there was a difference in CET among some sectors of the DC group. When the DC group was subdivided by severity, there was no difference between subgroups for CET across all sectors both preoperatively and postoperatively. In the measurements made 6 months after UEB surgery, the CET in all sectors increased statistically significantly compared to those measured in the preoperative period.

Conclusion

This study revealed that DC reshaped the corneal epithelium and UEB surgery restored this remodeling 6 months after surgery.

Level of Evidence III

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Authors and Affiliations

  1. Ophthalmology Department, Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkey

    Neşe Arslan, Sücattin İlker Kocamış, Huri Sabur & Mutlu Acar

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  1. Neşe Arslan
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  2. Sücattin İlker Kocamış
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  3. Huri Sabur
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  4. Mutlu Acar
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Correspondence to Sücattin İlker Kocamış.

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Ethical Approval

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. The ethics committee of our institution approved this study.

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All the patients were given written informed consent before the procedures.

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Arslan, N., Kocamış, S.İ., Sabur, H. et al. Evaluation of the Effect of Dermatochalasis and Upper Eyelid Blepharoplasty Surgery on Corneal Epithelial Thickness Alterations. Aesth Plast Surg 47, 647–651 (2023). https://doi.org/10.1007/s00266-022-03131-y

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  • DOI: https://doi.org/10.1007/s00266-022-03131-y

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