An Objective Evaluation of the Upper Eyelid Position after Phacoemulsification Cataract Surgery

Marqués-Fernández, Victoria; García-Zamora, María; Calabuig-Goena, María; Diez-Montero, Cecilia; Schellini, Silvana Artioli; Khandekar, Rajiv; Galindo‐Ferreiro, Alicia

doi:10.1080/08820538.2019.1643379

Cited by 6 publications

(8 citation statements)

References 21 publications

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“…Decreased corneal sensitivity causes decreased blinking rate 27 and incomplete blinking, which might contribute to MGD progression because meibum is delivered from meibomian glands by squeezing of the orbicularis oculi and Riolan muscles 28 – 31 . Third, the use of an eyelid speculum may induce eyelid dysfunction in early postoperative periods 32 , 33 to result in inappropriate blinking and squeezing force to deliver meibum from meibomian glands 9 , 12 . Fourth, increased ocular surface inflammation after cataract surgery may influence eyelid margins and meibomian gland function 10 , 12 .…”

Section: Discussionmentioning

confidence: 99%

Clinical efficacy of eyelid hygiene in blepharitis and meibomian gland dysfunction after cataract surgery: a randomized controlled pilot trial

Eom

Hwang

et al. 2020

Sci Rep

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The purpose of this randomized clinical trial is to evaluate the effect of eyelid hygiene on subjective symptoms, anterior blepharitis, and meibomian gland dysfunction (MGD) after cataract surgery. Subjects with obstructive MGD who underwent cataract surgery were randomly divided into two groups. In the eyelid hygiene group, eyelid hygiene was performed twice a day for 10 days from 3 days before to 1 week after cataract surgery. The control group did not perform eyelid hygiene. A subjective symptom questionnaire of SPEED, anterior blepharitis grade, and meibum quality and quantity was evaluated at baseline and at postoperative 1 and 4 weeks. The eyelid hygiene group (n = 36) showed decreased SPEED score after cataract surgery and the control group (n = 33) did not. Anterior blepharitis grade was worse 1 week after surgery in the control group but not in the eyelid hygiene group. The control group had significantly decreased meibum quality and quantity in both the upper and lower eyelids after cataract surgery, but the eyelid hygiene group did not. Eyelid hygiene before/ after cataract surgery improved postoperative subjective symptoms and prevented postoperative exacerbation of anterior blepharitis and MGD. Thus, perioperative eyelid hygiene is recommended for patients with obstructive MGD who undergo cataract surgery. Blepharitis is divided into anterior and posterior blepharitis according to anatomic location. Meibomian gland dysfunction (MGD) is the main cause of posterior blepharitis. MGD is characterized by abnormal meibomian gland secretion, qualitative/quantitative changes in meibum, dry eye symptoms, and ocular surface inflammation 1-3. Anterior blepharitis and MGD are important factors that may cause evaporative dry eye syndrome 4,5. They cause deficiency or imbalance of the tear film lipid layer secreted from meibomian glands to increase tear evaporation even if aqueous tear secretion is normal 6,7. On the other hand, another study reported that the tear film lipid layer itself may not inhibit the rate of tear evaporation 8. Nevertheless, an important function of the tear film lipid layer is to spread tears to the ocular surface between blinks, helping to maintain tear film homeostasis on the ocular surface. Previous studies have reported that the signs of blepharitis can worsen after cataract surgery, and the degree of dry eye syndrome and MGD is worse than before surgery 9-12. More significant worsening of MGD was observed

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Section: Discussionmentioning

confidence: 99%

Clinical efficacy of eyelid hygiene in blepharitis and meibomian gland dysfunction after cataract surgery: a randomized controlled pilot trial

Eom

Hwang

et al. 2020

Sci Rep

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“…Marqués-Fernández et al detected a mild and transient ptosis of the upper eyelid in the early postoperative period after phacoemulsification cataract surgery. 36 In this study, despite a decrease in the number of complete blinks postoperatively, blink amplitude remained unvaried, although the contact duration slightly reduced at 3 months after the intervention. Judging from these results, blinks may still travel a similar distance after cataract surgery, although both eyelids may ultimately fail to make contact, leading to incomplete blinks.…”

Section: Discussionmentioning

confidence: 48%

Effects of cataract surgery on blinking

Talens‐Estarelles

Dı́ez-Ajenjo

Pons

et al. 2023

J Cataract Refract Surg

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“…In recent studies, it was stated that secondary ptosis is transient and mostly occurs in the early period. 24,25 It was shown that this condition was only associated with low preoperative levator function and not with the effect of anesthesia, the duration of the valve speculum, or the duration of the operation. 26,27 Because a small proportion of postoperative transient ptosis results in permanent postoperative ptosis, it was recommended that postoperative secondary ptosis repair be delayed for at least 6 months after cataract surgery.…”

Section: Discussionmentioning

confidence: 99%