Changes in eyelid position after glaucoma filtering surgery.
Eur J Ophthalmol
; 32(5): 2886-2892, 2022 Sep.
Article
de En
| MEDLINE
| ID: mdl-34812089
ABSTRACT
BACKGROUND:
While ptosis is a well-known consequence of glaucoma surgery, some isolated case reports point to the possibility of upper eyelid retraction occurring after glaucoma surgery. This study aims to analyze the occurrence of ptosis and eyelid retraction after glaucoma surgery and to evaluate factors contributing to these palpebral fissure changes.METHODS:
Cross-sectional study including 100 eyes of 100 patients that had undergone unilateral glaucoma surgery. Upper eyelid height in the operated eye was measured by digital photography and compared with the fellow, non-operated eye. The main outcome was to determine if ptosis or retraction occurred in the operated eye in comparison with the fellow eye. The secondary outcome was to determine if any variable was associated with ptosis or retraction. A clinically significant difference (either toward ptosis or retraction) was defined as a difference ≥1â mm between both eyes.RESULTS:
Of 100 eyes included 81 (81%) showed no change in eyelid height (-0.133â mm ± 0.496), 11 (11%) showed ptosis (-1.348â mm ± 0.387) and 8 eyes (8%) showed retraction (1.705 ± 0.634). A statistically significant relation was found between ptosis and pseudoexfoliation glaucoma (p = 0.003). A trend toward lower postoperative IOP and higher conjunctival blebs was found in eyes with postoperative eyelid retraction.CONCLUSIONS:
Eyelid retraction was present in 8% of patients and ptosis in 11%. Patients with eyelid retraction showed around a 3â mmHg lower postoperative IOP than eyes without retraction. The presence of pseudoexfoliation may be a risk factor for this complication. A prospective study with a large number of patients would be required to confirm these results.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Blépharoptose
/
Glaucome
/
Chirurgie filtrante
/
Maladies de la paupière
Type d'étude:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limites:
Humans
Langue:
En
Journal:
Eur J Ophthalmol
Sujet du journal:
OFTALMOLOGIA
Année:
2022
Type de document:
Article
Pays d'affiliation:
Espagne