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Journals / Uludağ Üniversitesi Tıp Fakültesi Dergisi / 2025 / Cilt: 50 Sayı: 3

Analysis of Corneal Topography and Wavefront Aberrations after Upper Eyelid Blepharoplasty

Üst Göz Kapağı Blefaroplasti Ameliyatı Sonrası Kornea Topografisi ve Korneal Wavefront Aberasyonların İncelenmesi

Derya Doğanay(SBÜ, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Türkiye.)0000-0002-5757-0261
Muhammed Yelkovan(SBÜ, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Türkiye.)0009-0003-0199-1141
Ayna Sariyeva Ismayilov(SBÜ, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Türkiye.)0000-0002-0304-491X
Pages
503–508
Publication Date
2025-01-12
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, it was seen that UKB surgery can improve the topographic and aberrometric measurements of the cornea in the early postoperative period.

📌 3 Key Takeaways

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Objective & Hypothesis:In this prospective, interventional study, the effect of upper eyelid blepharoplasty (UEB) surgery performed on dermatochalasis patients on the cornea was investigated by corneal topography, and its effect on visual function was investigated by examining visual acuity and corneal wavefront aberrations.
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Key Findings & Data:Eighty eyelids of 40 patients were evaluated at least 1 month after surgery.
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Conclusion & Impact:In conclusion, it was seen that UKB surgery can improve the topographic and aberrometric measurements of the cornea in the early postoperative period.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:dermatoşalazis · kornea topografisi · wavefront aberasyonları

Abstract

In this prospective, interventional study, the effect of upper eyelid blepharoplasty (UEB) surgery performed on dermatochalasis patients on the cornea was investigated by corneal topography, and its effect on visual function was investigated by examining visual acuity and corneal wavefront aberrations. Eighty eyelids of 40 patients were evaluated at least 1 month after surgery. No significant differences were found for visual acuity, flat keratometry, steep keratometry, average keratometry, topographic astigmatism, axis, central corneal thickness, and anterior chamber depth (p>0.05 for all). While preoperative anterior chamber volume (ACV) was 122.06±28.0 mm3, the postoperative ACV was 126.23±28.80 mm3 (p=0.045). Root mean square-higher-order aberrations for total corneal surface (RMS-HOAs) in a 6-mm optical zone decreased significantly from 0.331±0.115 μm to 0.255±0.106 μm (p<0.001). The RMS-coma (Z₃¹) (p=0.841), RMS-trefoil (Z₃³) (p=0.866), and RMS-quadrifoil (Z₄⁴) (p=0.932) values were similar. The RMS-spherical aberration (Z₄⁰) decreased significantly (0.398±0.301, 0.371±0.280, p=0.035). In conclusion, it was seen that UKB surgery can improve the topographic and aberrometric measurements of the cornea in the early postoperative period.

Özet

Bu prospektif, girişimsel çalışma ile dermatoşalazis hastalarına uygulanan üst göz kapağı blefaroplasti (ÜKB) ameliyatının kornea üzerine etkisi korneal topografi ile, görme fonksiyonuna etkisi ise görme keskinliği ve korneal wavefront aberasyonlar incelenerek araştırıldı. Kırk hastanın 80 göz kapağı ameliyattan en az 1 ay sonra değerlendirildi. Ameliyat öncesi ve sonrası görme keskinliği, düz keratometri, dik keratometri, ortalama keratometri, topografik astigmatizma, aks, santral kornea kalınlığı ve ön kamara derinliği değerleri açısından anlamlı fark yoktu (hepsi için p >0,05) Ameliyat öncesi ön kamara hacmi (ACV) 122,06±28,0 mm3 iken, ameliyat sonrası ACV 126,23±28,80 mm3 (p=0,045) idi. 6 mm’lik optik zonda, total korneal yüzey için root mean square-higher-order aberrations (RMS-HOAs) 0,331±0,115 μm'den, 0,255±0,106 μm'ye düştü (p<0,001). RMS-koma (Z₃¹) (p=0,841), RMS-trefoil (Z₃³) (p=0,866) ve RMS-quadrifoil (Z₄⁴) (p=0,932) değerleri benzerdi. RMS- spherical aberration (Z₄⁰) istatistiksel olarak anlamlı azaldı (0,398±0,301, 0,371±0,280, p=0,035). Sonuç olarak, ÜKB ameliyatı sonrası erken dönemde, korneal topografik ve aberometrik ölçümlerde değişiklikler gözlemlenmiştir.

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Cite This Article

Doğanay, D., Yelkovan, M., Ismayilov, A. S., *, A. S. I. (2025). Analysis of Corneal Topography and Wavefront Aberrations after Upper Eyelid Blepharoplasty. Uludağ Üniversitesi Tıp Fakültesi Dergisi, Cilt: 50 Sayı: 3, 503–508. https://doi.org/10.32708/uutfd.1550274

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