Cosmetic transcutaneous lower blepharoplasty results in temporarily dry, tearful eyes
Cosmetic transcutaneous lower blepharoplasty affected ocular surface and tear fluid, resulting in temporary dryness, tearful eyes and chemosis, according to study findings.
The prospective, observational case series study included 60 eyes of 30 patients who underwent primary cosmetic transcutaneous lower blepharoplasty. All patients completed the Ocular Surface Disease Index questionnaire and underwent tear film break-up time measurements and Schirmer testing preoperatively and at 1 week, 1 month and 3 months postoperatively. Researchers recorded meniscus parameters captured through optical coherence tomography and assessed lower-lid margin reflex distance at each time point after surgery.
At 1 week postoperatively, OSDI scores increased significantly and Schirmer test scores decreased significantly; however, these values returned to baseline levels by 3 months, according to the researchers.
Tear meniscus height, depth and cross-section area values significantly increased at 1 week postop, and cornea-lower lid angle decreased significantly at 1 week postop. Both values also returned to baseline after 3 months after surgery.
Dry eye developed postoperatively in five patients; one patient had dry eye that persisted for 3 months.
Chemosis developed in eight patients by 1 week after surgery. After 3 months, no chemosis was found in any patients, according to the researchers.
Disclosure: The authors have no relevant financial disclosures.