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Intraocular Pressure Changes After Rhinoplasty: A Before-and-After Cross-Sectional Study
Ali Goljanian Tabrizi1, Matin Ghazizadeh1, Atiyeh Zahedi1
1Department of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.
Health Science Reports
|January 23, 2025
Summary
Rhinoplasty with lateral osteotomy does not significantly impact intraocular pressure (IOP). This study found no adverse IOP changes after surgery, suggesting it is safe for patients.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Surgical Complications
Background:
- Rhinoplasty is a common cosmetic procedure.
- Lateral osteotomy, a part of rhinoplasty, may cause ocular complications like edema and ecchymosis.
- Increased intraocular pressure (IOP) is a potential postoperative complication.
Purpose of the Study:
- To investigate the impact of lateral osteotomy during rhinoplasty on intraocular pressure (IOP).
Main Methods:
- Prospective before-and-after cross-sectional study of 96 patients undergoing rhinoplasty with lateral osteotomy.
- Preoperative ophthalmologic examinations and Goldmann tonometry at multiple time points: baseline, during surgery, and at 1, 7, and 30 days postoperatively.
- Analysis of mean IOP changes and correlation with surgical type.
Main Results:
- No statistically significant changes in IOP were observed at 1, 7, or 30 days post-surgery (p=0.194).
- The type of rhinoplasty surgery performed did not significantly affect intraocular pressure (p=0.622).
Conclusions:
- Rhinoplasty incorporating lateral osteotomy appears safe regarding intraocular pressure.
- Continued monitoring of IOP during rhinoplasty procedures is recommended.
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