Does Upper Lid Blepharoplasty Improve Contrast Sensitivity?

Rogers, Simon A. G.; Khan-Lim, Doreen; Manners, R M

doi:10.1097/iop.0b013e31823d2125

Cited by 17 publications

(16 citation statements)

References 7 publications

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“…These results are also consistent with studies in which patients with dermatochalasis reported subjective improvement in contrast sensitivity-related symptoms, such as increased image brightness and comfort in reading and driving, after surgery. 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

“…In addition to the lash effect, allowing more light to enter the eye by eliminating the hooding effect caused by the overhanging skin fold is another proposed mechanism. 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

“…The increase in the visual field after upper eyelid blepharoplasty is known to provide a functional benefit to patients. In addition, Rogers et al 4 also observed that these patients reported a subjective increase in vision postoperatively. Although the authors did not observe an objective change in refraction tests, they detected improvement in the patients’ contrast sensitivity test results.…”

Section: Introductionmentioning

confidence: 89%

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Effects of Upper Eyelid Blepharoplasty on Contrast Sensitivity in Dermatochalasis Patients

Nalcı¹,

Hoşal²,

Gündüz³

2020

tjo

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Objectives: To evaluate the impact of upper eyelid blepharoplasty on contrast sensitivity in dermatochalasis patients. Materials and Methods: Best corrected visual acuity, ophthalmologic examination, eyelid examination, lash ptosis, contrast sensitivity using sine-wave contrast sensitivity chart, keratometric parameters, and corneal aberrations of 34 eyes of 34 patients who underwent upper eyelid blepharoplasty due to dermatochalasis in our clinic between the years 2014 and 2018 were evaluated preoperatively and at postoperative 3 months. Results: Twenty-three (68%) of the patients were females and 11 (32%) were males. Mean age was 63.1±7 (52-81) years. Mean best corrected visual acuity was 0.036±0.06 (0-0.15) logMAR preoperatively and postoperatively (p>0.05). Contrast sensitivity values of the patients at the frequencies of 1.5, 3, 6, 12, and 18 cycles per degree were 44.38±19.5, 59.03±27.2, 41.44±34.1, 15.15±19.3, and 5.15±4.26 preoperatively and 44.80±20.9, 76.85±33.4, 63.21±46.4, 28.21±31.1, and 10.5±9.5 postoperatively, respectively. The difference between contrast sensitivity values was statistically significant at the frequencies of 3, 6, 12, and 18 cpd (p=0.005, =0.001, <0.001, and <0.001, respectively). Although lash ptosis of the patients improved significantly after the surgery, there was no correlation between lash ptosis improvement and change in contrast sensitivity (p>0.05). Keratometric values and corneal high order aberrations did not change significantly after the surgery (p>0.05). Conclusion: Contrast sensitivity significantly increases after upper eyelid blepharoplasty, especially at higher spatial frequencies which are known to deteriorate due to age-related changes in the lens and retina in older adults. Our results show that blepharoplasty may have additional functional indications for elderly dermatochalasis patients in terms of improving the functions such as performing daily tasks and reading.

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Section: Discussionmentioning

confidence: 99%

“…In addition to the lash effect, allowing more light to enter the eye by eliminating the hooding effect caused by the overhanging skin fold is another proposed mechanism. 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 89%

See 1 more Smart Citation

Effects of Upper Eyelid Blepharoplasty on Contrast Sensitivity in Dermatochalasis Patients

Nalcı¹,

Hoşal²,

Gündüz³

2020

tjo

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“…These studies mainly show clinically insignificant, but statistically relevant, corneal topographic alterations. Some reports 24 , 25 also indicate improved contrast sensitivity, with alterations only in the high-order aberrations. The CCT, an important value for corneal structure, was unchanged in these studies.…”

Section: Discussionmentioning

confidence: 96%

Does severity of dermatochalasis in aging affect corneal biomechanical properties?

Atalay¹,

Gürez²,

Kirgiz³

et al. 2016

CIA

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PurposeThe aim of this study was to investigate the possibility of a relationship between corneal biomechanical properties and different grades of dermatochalasis.Patients and methodsPatients were assigned to four groups according to the severity of their dermatochalasis: normal (Group 1), mild (Group 2), moderate (Group 3), and severe (Group 4). An Ocular Response Analyzer device was used to measure corneal hysteresis (CH), corneal resistance factor (CRF), and corneal-compensated intraocular pressure (IOPcc).ResultsWe found no significant differences in the mean values of the CH, CRF, and IOPcc of all groups (P=0.75, P=0.93, and P=0.11, respectively). However, CH and IOPcc were negatively correlated in Group 1, Group 2, and Group 3 patients (P=0.013, r=−0.49; P=0.015, r=−0.52; and P=0.011, r=−0.47, respectively), but this correlation was not apparent in the Group 4 patients (P=0.57, r=0.12). CRF and IOPcc were correlated, but only in Group 4 (P=0.001, r=0.66).ConclusionSevere dermatochalasis was associated with altered corneal biomechanical properties. Some of the important visual consequences of dermatochalasis and related diseases (such as floppy eyelid syndrome) can be understood by considering corneal biomechanical alterations.

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“…Alterations were highly apparent in the lateral portion of the eyebrow and occur bilaterally. Rogers et al 63 have documented significant improvement in contrast sensitivity in patients who have undergone upper eyelid blepharoplasty. The measurement technique used by the authors to document the change in eyebrow position, however, seems objective.…”

Section: Blepharoplastymentioning

confidence: 99%