Objective: To evaluate tear film quality and intraocular pressure (IOP) changes after upper eyelid blepharoplasty.
Material and Method: This retrospective study included 42 eyes of 21 patients who underwent upper eyelid blepharoplasty for dermatochalasis between January 2018 and June 2018 in our clinic. The Schirmers and tear break-up time (TBUT) values and IOP were measured preoperatively and at postoperative first day, 1 month and 3 months in all patients. The ocular surface staining pattern was evaluated according to the Oxford scale. The effects of upper eyelid blepharoplasty on tear film quality and intraocular pressure were evaluated.
Results: All patients were female and the mean age of the patients was 53.28 +/- 7.98. The postoperative Schirmers test scores at postoperative 3 months were statistically significantly lower than all previous preoperative measures (p<0.01). Likewise, the postoperative 1-week measurements were statistically significantly higher than the postoperative 1-month and 3-month measurements (p<0.01). As for the results of TBUT, the postoperative 1-week measurement was statistically significantly higher than the postoperative 1-month measurement and the preoperative value than the postoperative 1-month measurement (p <0.05). There was no statistically significant difference between the measurements in terms of the IOP values (p> 0.05). When the 42 eyes of 21 patients were evaluated according to the Oxford scale, it was observed that there were "mild" symptoms in 28 (66%), "moderate" symptoms in 10 (23%) and "marked" symptoms in 4 (9%). No patients with severe symptoms were detected.
Conclusion: Upper eyelid blepharoplasty may have a negative effect on tear film quality in the early postoperative period, however it does not affect IOP at any period. Understanding the effects of the surgery performed especially on the ocular surface through larger case series may necessitate ophthalmologic examination for preoperative evaluation and postoperative follow-up of dermatochalasis cases.