Efficacy of Bandage Contact Lenses versus Eye Patching in Early Postoperative Period of Müller’s Muscle-Conjunctival Resection

Abstract

Purpose: Patients with blepharoptosis who are treated with Müller’s muscle-conjunctival resection (MMCR) may experience postoperative pain and discomfort related to the suture material on the palpebral conjunctiva. This study aims to compare the postoperative subjective complaints, such as pain and discomfort, with a visual analog scale (VAS), and objectively evaluate the cornea with a tear break-up time (TBUT) test and fluorescein staining following MMCR that was managed by either a bandage contact lens (BCL) or eye patching. Methods: Forty patients who had undergone a unilateral MMCR were randomized into 2 groups. Group 1 (n = 20) received a BCL, and group 2 (n = 20) received an eye patch following the MMCR. Patients were evaluated postoperatively at 1 and 7 days in this prospective study. The postoperative pain was measured using a VAS, and the requirement for anti-inflammatory medication was analyzed. A slit-lamp examination was performed to evaluate the cornea with a TBUT test and fluorescein staining by objectively using the National Eye Institute (NEI) classification. Results: BCL treatment decreased the VAS score, the need for anti-inflammatory medications, and fluorescein staining using the NEI score and increased the TBUT score significantly compared with the eye patch treatment (p < 0.001). Conclusions: Our findings suggest that the use of a BCL may be beneficial in terms of reducing early postoperative pain and eye stinging, protecting the cornea, and retaining the ability to perform daily activities following a MMCR.

Efficacy of 2% Hydroxypropyl Methylcellulose and Bandage Contact Lens for the Management of Dry Eye Disease after Cataract Surgery

“…Nevertheless, a study has demonstrated that proper BCL administration after cataract surgery also contributes to the successful management of dry eye following cataract surgery [ 12 ]. Some studies have also shown that the application of BCL after pterygium excision or Müller's muscle-conjunctival resection seems effective in reducing postoperative pain and eye-stinging [ 7 – 9 ]. Our study confirms that HPMC and BCLs can be safely used in the perioperative phase of cataract surgery.…”

“…Terapeutic bandage contact lenses (BCLs) have been widely used in various ocular conditions related to corneal epithelial injury repair. Tey have also been shown to relieve discomfort and promote wound healing after cataract surgery [7][8][9][10]. However, some studies have indicated that the use of BCLs may cause some degree of ocular surface infammation [11].…”

Comparison of the efficacy and safety of removing bandage contact lenses on the fourth and seventh postoperative day after transepithelial photorefractive keratectomy

“…The postoperative use of a protective bandage lens can help safeguard the cornea following ocular surface surgery [ 23 , 24 ]. Bandaged soft contact lenses are commonly used in surface ablation surgery to promote epithelial healing, reduce pain, and prevent corneal haze formation [ 25 ,][26]].…”

Bandage contact lens for in-game corneal abrasion can allow immediate return to play

“…Research has shown that BCLs can quickly alleviate excruciating ocular pain and provide binocular vision after the onset of a corneal abrasion ( 11 ), and BCLs are now a preferred treatment option for many other ocular complications and surgeries including postoperative Muller's Muscle-Conjunctival Resection ( 12 ). Mechanistically, the bandage contact lens protects against friction of the eyelid and air and provides a structure for re-epithelialization and, therefore, healing.…”