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Changes in Intraocular Pressure and Ocular Biometry After Blepharoplasty
Cagri Ilhan1, Gozde Aksoy Aydemir2, Emre Aydemir2
1Department of Ophthalmology, Hatay Education and Research Hospital, Ekinci Mah. Cevreyolu Cad. Royals Park 13/1 No:23, Antakya, Hatay, Turkey. cagriilhan@yahoo.com.
Aesthetic Plastic Surgery
|January 12, 2022
Summary
Blepharoplasty can alter intraocular pressure (IOP) and ocular biometrics, particularly in patients with severe dermatochalasis. Close monitoring is advised post-surgery, especially for those with glaucoma risk factors.
Area of Science:
- Ophthalmology
- Oculoplastics
- Corneal Surgery
Background:
- Upper eyelid dermatochalasis is a common condition requiring surgical correction.
- Blepharoplasty aims to improve visual field and aesthetics.
- Potential impacts of blepharoplasty on ocular parameters require investigation.
Purpose of the Study:
- To evaluate the effects of blepharoplasty on intraocular pressure (IOP).
- To assess changes in ocular biometric parameters after blepharoplasty.
Main Methods:
- 112 eyelids from 56 patients undergoing blepharoplasty were analyzed.
- Patients were grouped by margin reflex distance (MRD).
- IOP and ocular biometrics were measured pre- and post-surgery (3 months).
Main Results:
- Intraocular pressure and central corneal thickness increased in the severe dermatochalasis group (Group 3).
- Keratometry and corneal astigmatism increased across all groups, notably in Group 3.
- Anterior chamber depth and axial length remained unchanged; calculated intraocular lens powers decreased in Group 3.
Conclusions:
- Blepharoplasty can induce changes in IOP and ocular biometrics.
- Post-blepharoplasty monitoring is crucial, especially for glaucoma patients.
- Surgical planning for refractive or cataract surgery may need adjustments.
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