The Long-Term Effect on Dry Eye of Posterior Approach Ptosis Surgery Vs. Upper Eyelid Blepharoplasty.
Curr Eye Res
; 49(5): 538-542, 2024 05.
Article
in En
| MEDLINE
| ID: mdl-38221896
ABSTRACT
PURPOSE:
To examine the long-term effect of combined blepharoplasty and Müller muscle-conjunctival resection (MMCR) compared to an upper blepharoplasty procedure on dry eye syndrome.METHODS:
This is a Prospective comparative case series. Two groups of patients participated in this study the blepharoplasty group included adult patients that underwent blepharoplasty at least 3 years earlier and the ptosis group consisting of adult patients that underwent MMCR with blepharoplasty at least 3 years earlier. The parameters that were compared for all patients before the procedure, on postoperative day 90, and at the long-term follow-up were Schirmer-test 2, tear break-up time (TBUT), fluorescein staining, and lissamine green (LG) staining.RESULTS:
The participants included 25 post-MMCR patients with a mean follow-up of 4.94 ± 0.64 years and 15 post-blepharoplasty patients with a mean follow-up of 4.22 ± 0.32 years. There was a significant increase in the postoperative LG and fluorescein staining scores compared to the preoperative scores in the ptosis group (p < .01 and p < .01, respectively) as well as a decrease in postoperative TBUT compared to the preoperative values (p = .044). Those parameters were not significant in the blepharoplasty group.CONCLUSIONS:
Patients who underwent MMCR, but not those following upper blepharoplasty, showed signs of dry eye compared to the preoperative status after long-term follow-up. Dry eye signs should be examined before MMCR surgery, and patients should be aware of the high risk of developing dry eye and the need for long-term treatment. Surgeons should carefully consider performing MMCR for patients with severe dry eye.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blepharoptosis
/
Dry Eye Syndromes
/
Blepharoplasty
Limits:
Adult
/
Humans
Language:
En
Journal:
Curr Eye Res
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: