Dry Eye Symptoms and Chemosis Following Blepharoplasty

Prischmann, Jess; Sufyan, Ahmed S.; Ting, Jonathan Y.; Ruffin, Chad; Perkins, Stephen W.

doi:10.1001/2013.jamafacial.1

Cited by 70 publications

(41 citation statements)

References 22 publications

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“…Patients with preoperative history of DES may be at greater risk for developing dry eyes or chemosis following surgery. 83 Therefore, comprehensive ocular examination for detecting DES in preoperative phase is important to reduce postoperative complications. 103 Measuring the amount of tear production by the Schirmer's test, 57 , 84 tear break up time, ocular surface staining, and tear meniscus height will highlight any associated ocular surface abnormalities.…”

Section: Resultsmentioning

confidence: 99%

Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Kashkouli

Abdolalizadeh

Abolfathzadeh

et al. 2017

Journal of Current Ophthalmology

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PurposeSince different subspecialties are currently performing a variety of upper facial rejuvenation procedures, and the level of knowledge on the ocular and periocular anatomy and physiology is different, this review aims to highlight the most important preoperative examinations and tests with special attention to the eye and periocular adnexal structures for general ophthalmologist and specialties other than oculo-facial surgeons in order to inform them about the fine and important points that should be considered before surgery to have both cosmetic and functional improvement.MethodsEnglish literature review was performed using PubMed with the different keywords of “periorbital rejuvenation”, “blepharoptosis”, “eyebrow ptosis”, “blepharoplasty”, “eyelid examination”, “facial assessment”, and “lifting”. Initial screening was performed by the senior author to include the most pertinent articles. The full text of the selected articles was reviewed, and some articles were added based upon the references of the initial articles. Included articles were then reviewed with special attention to the preoperative assessment of the periorbital facial rejuvenation procedures.ResultsThere were 254 articles in the initial screening from which 84 articles were found to be mostly related to the topic of this review. The number finally increased to 112 articles after adding the pertinent references of the initial articles.ConclusionStatic and dynamic aging changes of the periorbital area should be assessed as an eyelid-eyebrow unit paying more attention to the anthropometric landmarks. Assessing the facial asymmetry, performing comprehensive and detailed ocular examination, and asking about patients' expectation are three key elements in this regard. Furthermore, taking standard facial pictures, obtaining special consent form, and finally getting feedback are also indispensable tools toward a better outcome.

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Section: Resultsmentioning

confidence: 99%

Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Kashkouli

Abdolalizadeh

Abolfathzadeh

et al. 2017

Journal of Current Ophthalmology

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“…Following blepharoplasty, dry eye syndrome develops in 8% to 21% of patients (6,13), and lower eyelid malpositioning, increased eyelid space, lagophthalmos, eyelid retraction, and decreased blink reflex may play a role in its development (14). Previous studies have indicated that the symptoms associated with dry eye syndrome develop more frequently after lower eyelid surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have indicated that the symptoms associated with dry eye syndrome develop more frequently after lower eyelid surgeries. In their study that reported the outcomes of blepharoplasty surgery in 892 patients, Prischmann et al (13) reported a rate of postoperative dry eye of 12.9% of the patients who underwent upper eyelid blepharoplasty alone, and 21.9% in patients who underwent lower eyelid surgery.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Surgical Outcomes, Patient Satisfaction and Potential Complications after Blepharoplasty

Akkaya¹

2018

Beyoglu Eye J

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Objectives:This study is an evaluation of the surgical outcomes, patient satisfaction, and potential complications following blepharoplasty surgery. Methods: A total of 128 patients who underwent blepharoplasty surgery between 2015 and 2017 were included in this study. A postoperative lid crease difference of at least 1 mm was considered asymmetrical. Pre-and postoperative tear break-up time (TBUT) was evaluated. All of the patients were asked to complete a satisfaction assessment form prepared by the authors. The scar tissue that developed along the incision line was evaluated and graded by a single observer. Results: The mean age of the patients was 62.70±9.73 years, and all of the patients were monitored for a period of least 6 months. In combination with blepharoplasty, 17 patients underwent eyebrow surgery, 6 underwent lower eyelid surgery, and 4 underwent levator surgery. Lid crease asymmetry of 1 mm was determined in 8 patients, and a 2-mm asymmetry was identified in 2 patients, although the pre-and postoperative TBUT was not significantly different (p≥0.05). A total of 107 (83.59%) patients reported a very high level of satisfaction at the postoperative sixth month, 15 (11.71%) patients reported a high level of satisfactıon, and 6 (4.68%) reported a moderate level of satisfaction. In the postoperative sixth month, 87 (67.97%) patients had no scar tissue at the incision line, while 36 (28.13%) patients had noticeable scar tissue upon close inspection, and 5 (3.91%) patients had apparent scar tissue. None of the patients developed serious complications, such as severe hematoma, lagophthalmos, or wound separation. Conclusion: In the present study, the patients generally expressed long-term satisfaction with the results of blepharoplasty surgery for dermatochalasis. A comprehensive preoperative assessment, and combining surgeries when necessary and appropriate, ensures a high rate of success in blepharoplasty procedures.

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“…In this sense, chemosis defined as nonspecific swelling of the conjunctiva could be associated with bacterial or viral reactions, angioedema or trauma8. In cosmetic blepharoplasty techniques using the transconjunctival approach, these are frequent complications9, thus requiring establishment of protocols for their treatment. It is likely that the transconjunctival approach which is oriented to remove fat tissue produces better conditions for the development of chemosis and that the physiopathological mechanism will be similar to that observed in this case, since this is a rare complication in orbital traumatology.…”

Section: Discussionmentioning

confidence: 99%

Chemosis as complication in transconjunctival approach for orbital trauma

Olate

Palmieri

Moraes

2017

J Korean Assoc Oral Maxillofac Surg

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The aim of this report was to discuss a complication resulting from a transconjunctival approach to treating an orbital fracture. A 30-year-old male patient presented with a fracture to the zygomatic orbital complex. He was treated with transconjunctival conventional surgical treatment. Two days after surgical treatment, the patient presented with secondary chemosis which was initially slight and then subsequently worsened. The clinical situation was managed with topical and systemic corticosteroids and resolved within one postoperative month. Two-year follow-up showed ptosis of the upper eyelid and limited infraversion in the affected eye. This unusual complication associated with an orbital trauma was resolved with minor functional alterations, although the consequences observed after 2 years were not completely satisfactory.

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Dry Eye Symptoms and Chemosis Following Blepharoplasty

Cited by 70 publications

References 22 publications

Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Evaluation of Surgical Outcomes, Patient Satisfaction and Potential Complications after Blepharoplasty

Chemosis as complication in transconjunctival approach for orbital trauma

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