Effect of Upper Eyelid Blepharoplasty on Vision and Corneal Tomographic Changes Measured By Pentacam

Şimşek, İlke Bahçeci; Yilmaz, Basak Saracoglu; Yildiz, Serra; Artunay, Özgür

doi:10.3109/01676830.2015.1057292

Cited by 30 publications

(40 citation statements)

References 17 publications

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“…According to Zinkernagel et al 15 , significant keratometric changes occured after upper eyelid blepharoplasty in patients with severe dermatochalasis who required adipose tissue excision. Şimşek et al 16 and Altın Ekin et al 17 observed statistically significant changes in astigmatism after surgery, but reported that this difference did not influence visual acuity levels. Doğan et al 18 reported that upper eyelid blepharoplasty did not affect keratometric values.…”

Section: Discussionmentioning

confidence: 97%

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: 97%

Effects of Upper Eyelid Blepharoplasty on Contrast Sensitivity in Dermatochalasis Patients

Nalcı¹,

Hoşal²,

Gündüz³

2020

tjo

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“…Eyelid position has been found to be an important factor contributing to the aberration changes [4,5,[13][14]. For objective visual quality changes in ptosis, nearly all studies have focused on the differences in lower-order aberration between ptosis eyes and normal eyes [15][16][17][18] and only a few researches have aimed at the HOAs changes in ptosis eyes. However, there are still no studies investigating the corneal HOAs and intraocular scatter changes in ptosis eyes.…”

Section: Discussionmentioning

confidence: 99%

Optical quality assessment in patients with unilateral congenital ptosis: a matched case-control study

Shen

Cui

Tang

et al. 2020

Preprint

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Background: To evaluate the differences in the corneal higher order aberrations (HOAs) and optical quality of the ptosis eyes compared with the normal fellow eyes in the unilateral congenital ptosis patients. Methods: A matched case-control study was performed in 17 pairs of eyes in 17 unilateral congenital ptosis patients. The ptosis eye was enrolled in the ptosis group while the normal fellow eye was enrolled in the normal group. The HOAs obtained from Pentacam HR and the optical quality parameters obtained from optical quality assessment system (OQAS) were compared between the two groups. Results: There were significant difference in vertical coma and vertical trefoil on the anterior corneal surface between the ptosis group and the normal group (p＜0.05). The OQAS parameters in the ptosis group were significantly different from that in the normal group (p＜0.05). The vertical fissure height (VFH) showed significant correlation with the total HOAs, 3 rd HOAs and vertical coma on the anterior corneal surface (p＜0.05). Conclusions: Compared with the normal fellow eyes, the ptosis eyes showed significantly degraded optical quality. The eyelid position was important for the changes of corneal HOAs in the ptosis eyes. The reasons for the discrepancy of the OQAS parameters between the ptosis eyes and normal fellow eyes were multiple.

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“… 19 , 21 Different aspects of the cornea show different characteristics in normal and pathological conditions. For example, some studies 22 , 23 have shown alterations in the corneal topographies of dermatochalasis patients. Other studies have revealed corneal biomechanical changes in diseases related to connective tissue and skin, such as MS and FES.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies 22 , 23 have been conducted on corneal topography in an attempt to explain the improved visual functions expressed by patients following surgical treatment of dermatochalasis. These studies mainly show clinically insignificant, but statistically relevant, corneal topographic alterations.…”

Section: Discussionmentioning

confidence: 99%

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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Effect of Upper Eyelid Blepharoplasty on Vision and Corneal Tomographic Changes Measured By Pentacam

Cited by 30 publications

References 17 publications

Effects of Upper Eyelid Blepharoplasty on Contrast Sensitivity in Dermatochalasis Patients

Effects of Upper Eyelid Blepharoplasty on Contrast Sensitivity in Dermatochalasis Patients

Optical quality assessment in patients with unilateral congenital ptosis: a matched case-control study

Does severity of dermatochalasis in aging affect corneal biomechanical properties?

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