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Compression Dressing versus Noncompressive Transparent Eye Shield after Ptosis Surgery.

Anna Schuh¹, Lilian Reischmann¹, Christoph R Hintschich¹

¹From the Department of Ophthalmology, Ludwig-Maximilians-University Munich, Munich, Germany.

Plastic and Reconstructive Surgery. Global Open

|January 24, 2024

Summary

Compression dressing after ptosis surgery does not improve outcomes like swelling or pain. Omitting the dressing may prevent corneal erosion without negatively impacting early results.

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Area of Science:

Ophthalmology
Plastic Surgery

Background:

Ptosis surgery aims to correct drooping eyelids.
Postoperative management often includes eye dressings to manage swelling and bruising.

Purpose of the Study:

To evaluate the efficacy of compression dressing versus an eye shield after ptosis surgery.
To assess the impact on edema, ecchymosis, pain, and ocular surface health.

Main Methods:

A randomized controlled trial comparing compression dressing and eye shield post-ptosis correction (anterior levator reinsertion).
Outcomes including edema, ecchymosis, pain, scar formation, and aesthetic results were assessed by blinded observers and patients at multiple time points.
Ocular surface irritation, including corneal erosion and staining, was also monitored.

Main Results:

No significant differences were observed in edema, ecchymosis, scar formation, or aesthetic outcomes between the compression dressing and eye shield groups.
Postoperative pain and impairment were similar in both groups.
One case of corneal erosion occurred with compression dressing, and increased corneal staining was noted in the eye shield group at 7 days.

Conclusions:

Compression dressing after anterior levator reinsertion (ALR) does not offer benefits for edema, ecchymosis, pain, or early aesthetic results.
The use of compression dressing can be omitted after ALR to potentially prevent corneal complications without compromising early postoperative outcomes.