Evaluating the Effects of Upper Eyelid Blepharoplasty on Tear Film Quality and Intraocular Pressure

Özet

Objectives: To evaluate tear film quality and intraocular pressure (IOP) changes after upper eyelid blepharoplasty.Methods: This retrospective study included 42 eyes of 21 patients who underwent upper eyelid blepharoplasty for der-matochalasis between January 2018 and June 2018 in our clinic. Schirmer’s and tear break-up time (TBUT) values and IOP were measured preoperatively and postoperatively at first day, 1 month, and 3 months in all patients. The ocular surface staining pattern was evaluated according to Oxford scale. Effects of upper eyelid blepharoplasty on tear film quality and IOP were evaluated.Results: All patients were female and their mean age was 53.28±7.98. The postoperative Schirmer’s test scores at post-operative 3 months were significantly (p 0.05) difference between the measurements in terms of IOP values. Of the 42 eyes evaluated according to Oxford scale, 28 (66%) had mild symptoms, 10 (23%) had moderate symptoms, and 4 (9%) had marked symptoms. No patient with severe symptoms was detected.Conclusion: Upper eyelid blepharoplasty may have a negative effect on tear film quality in early postoperative period; however, it does not affect IOP at any period. Understanding the effects of surgery performed specifically on ocular sur-face through larger case series may necessitate ophthalmologic examination for preoperative evaluation and postoperative follow-up of dermatochalasis cases.