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Changes in Tear Meniscus Analysis After Ptosis Procedure and Upper Blepharoplasty

  • Original Article
  • Oculoplastic
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Abstract

Introduction

To quantitatively evaluate dry eye test and tear measurements following oculoplastic surgery.

Methods

This comparative prospective clinical study comprised three groups of adult patients: the 1) blepharoplasty group: those with dermatochalasis; and 2) the blepharoplasty + Muller’s muscle-conjunctival resection and 3) blepharoplasty + anterior levator resection groups: those with dermatochalasis and ptosis showing significant improvement after 10% phenylephrine administration. Ocular Surface Disease Index, tear film break-up time, corneal staining, and Schirmer test values were recorded. Tear meniscus area and height were measured using anterior segment-optical coherence tomography.

Results

This study comprised 56 patients (18 males, 38 females). The blepharoplasty group included 40 eyes of 20 patients. The blepharoplasty + MMCR group included 21 eyes of 16 patients. The blepharoplasty + ALR group included 30 eyes of 20 patients. No significant differences resulted between the preoperative and postoperative dry eye test and tear measurements in the blepharoplasty group (P> 0.005/for all). Significant increases were seen in the corneal staining, TMH, TMA, and Schirmer test values were significantly decreased compared to those postoperatively in the blepharoplasty + MMCR group (P= 0.018, P< 0.001, P= 0.033 and P= 0.030, respectively). In the blepharoplasty + ALR group, the TMH and TMA were significantly decreased (P= 0.031, P= 0.036).

Conclusion

No changes resulted in dry eye tests following blepharoplasty in patients without dry eye symptoms. Changes were more pronounced following ptosis surgery, especially MMCR. Patients should be carefully examined for dry eye and treated during follow-up.

Level of Evidence IV

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Authors and Affiliations

  1. Ophthalmology Department, Adıyaman University Research and Training Hospital, Adıyaman, Turkey

    Emre Aydemir & Gozde Aksoy Aydemir

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  1. Emre Aydemir
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  2. Gozde Aksoy Aydemir
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Correspondence to Gozde Aksoy Aydemir.

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Conflict of interest

The authors have no financial conflicts of interest to disclose.

Ethical Approval

Adiyaman University Ethics Committee (Approval date: 11.02.2021, Approval number: 2021-3-6).

Informed Consent

Informed consent was obtained from all participants included in the study.

Consent to Publish

The study is compatible with the tenets of the Declaration of Helsinki and was approved by the local ethics committee.

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Aydemir, E., Aksoy Aydemir, G. Changes in Tear Meniscus Analysis After Ptosis Procedure and Upper Blepharoplasty. Aesth Plast Surg 46, 732–741 (2022). https://doi.org/10.1007/s00266-021-02613-9

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  • DOI: https://doi.org/10.1007/s00266-021-02613-9

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