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Sensory Changes in Periocular Skin After Upper Eyelid Surgery
Tal Koval1,2, Shay Ofir1,2, Avner Belkin1,2
1Department of Ophthalmology, Meir Medical Center, Kfar Saba.
The Journal of Craniofacial Surgery
|November 28, 2018
Summary
Upper eyelid surgery, including blepharoplasty, does not significantly alter periocular cutaneous sensation. Objective and subjective measures confirm sensation remains intact, reassuring patients about potential nerve damage.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Neuroscience
Background:
- Periocular cutaneous sensation is crucial for facial expression and protection.
- Upper eyelid surgery aims to improve aesthetics and function but may pose risks to sensation.
Purpose of the Study:
- To objectively and subjectively assess changes in periocular cutaneous sensation following upper eyelid surgery.
- To evaluate the impact of blepharoplasty and blepharoptosis repair on eyelid nerve sensitivity.
Main Methods:
- Prospective interventional study involving 24 patients (48 eyes) undergoing upper eyelid surgery.
- Sensation measured preoperatively and postoperatively using a Cochet-Bonnet esthesiometer.
- Statistical analysis (paired t-test) to compare sensation levels.
Main Results:
- No significant difference in objective sensation measurements between pre- and postoperative visits.
- No correlation found between surgery type, sex, or age and sensation changes.
- Over 95% of patients reported no subjective reduction in eyelid sensation.
Conclusions:
- Upper eyelid skin incision surgery does not compromise periocular cutaneous sensation.
- Patients can be reassured regarding the low risk of sensory damage from these procedures.
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