Ocular surface changes before and after upper eye lid blepharoplasty

Abstract

Background: Blepharoplasty has been the most effective treatment for upper eyelid dermatochalasis. Dry eye disease after blepharoplasty can only be detected after sufficient time to allow for resolution of the early and intermediate sicca symptoms. Aim of work: studying the ocular surface changes before and after upper eyelid blepharoplasty.Patients and methods: our prospective interventional cohort study conducted on 30 patients, (aged between 40 and 60 years) underwent upper eye lid blepharoplasty. Results: The included 30 subjects were females only aged from 40 years to 60 years with the Mean ± standard deviation were 51.07±4.93 years. The values of tear meniscus height, depth, and cross-section area decreased significantly at 1 month postoperatively, then started to increase after 3 months postoperative and returned like preoperative after 6 months.Conclusion: Upper eye lid blepharoplasty can affect the ocular surface and tear film stability. The values of tear meniscus height, depth, and cross-section area and dry eye tests except the ocular surface staining decreased significantly at 1 month postoperatively, then started to increase after 3 months postoperative and returned like preoperative after 6 months.