Effects of Upper Eyelid Surgery on the Ocular Surface and Corneal Topography

Ceylan, Nihan Aksu; Yeniad, Barış

doi:10.4274/tjo.galenos.2021.63255

Cited by 13 publications

(15 citation statements)

References 24 publications

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“…Additionally, no significant differences were found in our study in pre-and post-operative keratometric values in patients who underwent ptosis and upper eyelid blepharoplasty procedures; likewise, no differences were detected in a study by Ceylan et al, who also reported significant changes in the K2 value in the first month in the Levator approach ptosis surgery group [17]. Considering that the patients were followed-up in the last 3 months in our study, it can be understood why no significant changes were detected in the keratometric values, given that the measurements yielded more accurate data over a longer period.…”

Section: Discussioncontrasting

confidence: 77%

Evaluation of the effect of eyelid disorder surgeries on tears and anterior segment parameters with meibography and corneal topography

Eroğul¹,

Gülal²

2022

J Surg Med

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Background/Aim: Abnormalities of eyelid shape, including ptosis, entropion, ectropion, lagophthalmos, and dermatochalasis, can occur at any age and affects the patient’s life quality, visual functions, and comfort. These abnormalities can be regarded as illnesses and can be cured medically and surgically. Meibomian glands are large sebaceous glands located in the lower and upper eyelids. Our study aimed to observe changes in anterior cornea segment parameters and meibomian glands of patients undergoing surgery for eyelid shape abnormalities. Methods: Our sample comprised 31 patients, who were operated on at Afyonkarahisar Health Sciences University Hospital, were examined with respect to cornea topographic measurements and the drop-out of meibomian glands at the pre-operative and first-month post-operative processes and post-operative third month. In this prospective cohort method study, the surgical eyes of the patients were determined as the study group and the healthy eyes as the control group. Results: Surgical and healthy eyes of 31 patients were included in this study (N=62). The sample comprised 18 male and 13 female patients. The average age and standard deviation values of patients were determined as 66.50 (17.315) in males and 65.92 (13.714) (P = 0.659) in females. In terms of anterior cornea segment parameters (K1, K2, ACA, ACD, ACV, and CCT), no prominent differences were found in pre-operative and post-operative results (K1, K2, ACA, ACD, ACV, and CCT) in both the study and control groups. Meibography revealed that the increased meibomian gland drop-out of surgical eye measurements of pre- and post-operative was statistically significant (P < 0.001), whereas the change seen in healthy eyes was not statistically significant (P = 0.051). Furthermore, although the change through meibomian glands of entropion patients was not significant (P = 0.066), the drop-out of the meibomian gland of the other surgery cases (ptosis, ectropion, lagophthalmos, blepharoplasty, and dermatochalasis surgery) was found to be statistically significant (P = 0.038). Conclusion: Surgeries to correct abnormalities in eyelid shape can lead patients to meibomian gland drop-out. Pre-operative assessment of patients whose surgeries are planned, and post-operative monitoring, must be done meticulously in order to minimize the likelihood of symptoms and avoid meibomian gland dysfunction.

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Section: Discussioncontrasting

confidence: 77%

Evaluation of the effect of eyelid disorder surgeries on tears and anterior segment parameters with meibography and corneal topography

Eroğul¹,

Gülal²

2022

J Surg Med

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“…Four previous reports have investigated anterior approach ptosis surgery and its effect on dry eye disease. 10,11,17,18 Watanabe et al, 11 evaluated tear meniscus radius and TBUT following levator aponeurosis advancement surgery using video meniscometry 1.5 months postoperatively. The authors concluded that there is a postoperative increase in tear film distribution and evaporation secondary to increased palpebral aperture.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Ptosis Surgery on Meibomian Glands and Dry Eye Syndrome

Hamed Azzam,

Nama,

Hartstein

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To investigate the effect of ptosis surgery on dry eye disease as measured by dry eye parameters and meibomian gland function. Methods: This prospective, case series study included patients with involutional ptosis with no prior history of dry eye disease who were scheduled for a levator aponeurosis advancement procedure. Dry eye evaluation included the ocular surface disease index (OSDI) questionnaire as well as objective measurements, which included meibomian gland loss measured by meibography, meibomian gland disease grading, tear breakup time (TBUT), corneal and conjunctival fluorescein staining, tear meniscus height, and Schirmer testing. All dry eye measurements were recorded preoperatively and repeated 21–28 days postoperatively. Results: A total of 30 eyes were included with a mean age of 65.6 ± 11.9 years. There was a significant improvement in margin reflex distance1 (MRD1) postoperatively (p < 0.001) and a significant decrease in upper lid margin thickening (p = 0.022). There were no significant differences between the pre- and postoperative measurements in meibomian gland loss, TBUT, corneal and conjunctival fluorescein staining, tear meniscus height, and the Schirmer test. OSDI was increased nonsignificantly postoperatively (16.094 vs. 24.296, respectively, p = 0.107). Conclusion: The levator aponeurosis advancement procedure does not affect the eyelid meibomian glands, nor does it cause an increase in dry eye signs and symptoms, according to the measured parameters.

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“…Evaluation of Eyelid Position: Dermatochalasis [5] and blepharoptosis [6] are upper eyelid disorders frequently encountered in ophthalmology. Treatment with upper eyelid blepharoplasty can lead to postoperative dry eye of varying severities.…”

Section: Preoperative Preventive Measures Postoperative Assessment An...mentioning

confidence: 99%

“…This may negatively affect tear production. Aksu Ceylan et al [6] found that upper eyelid blepharoplasty and levator advancement ptosis surgery led to a decrease in the Schirmer test results six months after the procedure. Studies have reported that dry eye and ocular irritation symptoms after upper eyelid blepharoplasty and blepharoptosis repair can regress within weeks after surgery [33,34].…”

Section: Preoperative Preventive Measures Postoperative Assessment An...mentioning

confidence: 99%

“…However, oculoplastic procedures can also cause OSD. Blepharoptosis repair and upper eyelid blepharoplasty themselves may lead to dry eye of varying severity [6]. The short-term effects of cosmetic blepharoplasty on tear film dynamics and deterioration of dry eye symptoms [7], the ocular surface, and tear fluid dynamics [8] have been reported.…”

Section: Introductionmentioning

confidence: 99%

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A review of oculoplastic surgery and ocular surface disorders

Ciftci¹,

Selver²

2022

Med Hypothesis Discov Innov Optom

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Background: Ocular surface health is closely related to the condition of the ocular adnexa, particularly the eyelids. Both ocular adnexal disorders and oculoplastic procedures performed to treat them can cause ocular surface disorders (OSD). In this review, we aimed to summarize the relationship between oculoplastic procedures and OSD. Methods: In this narrative review, an electronic search of the PubMed/MEDLINE database was conducted using various combinations of keywords including “oculoplastic surgery,” “ocular surface disorders,” “dry eye,” and “management,” without time or language limitations, to include studies concerning oculoplastic surgery and OSD. Results: We included articles involving oculoplastic procedures and OSD with discussions of preventive approaches and management strategies in this context. For a systematic approach, the preoperative assessments and postoperative treatment of patients were retrieved and summarized. Preoperative preventive measures included evaluation of tear film break-up time, tear osmolarity, tear meniscus area and height measurement by anterior segment optic coherence tomography, lipid layer thickness by interferometer, corneal staining and Oxford Scheme, Schirmer test, blink rate and completeness, ocular surface disease index scoring, eyelid closure, and Bell’s phenomenon. Postoperative assessments included the presence and severity of dry eye and early management of dry eye with artificial tears, topical anti-inflammatory medications, and night taping; evaluation of the presence of chemosis, and, if present, management with pharmacologic, mechanical, or surgical therapies when needed; and prompt detection and treatment of lagophthalmos and consequent exposure keratopathy. Conclusions: Careful preoperative examination of the ocular surface is mandatory to reduce or eliminate complications after oculoplastic surgery. Ocular surface-related complications that surgeons encounter after oculoplastic surgery should be promptly diagnosed and treated.

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Effects of Upper Eyelid Surgery on the Ocular Surface and Corneal Topography

Cited by 13 publications

References 24 publications

Evaluation of the effect of eyelid disorder surgeries on tears and anterior segment parameters with meibography and corneal topography

Evaluation of the effect of eyelid disorder surgeries on tears and anterior segment parameters with meibography and corneal topography

The Effect of Ptosis Surgery on Meibomian Glands and Dry Eye Syndrome

A review of oculoplastic surgery and ocular surface disorders

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