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Tear-Film Stability After Upper Blepharoplasty with Fractional CO2 Laser: A Retrospective 5-Month Series
Juliana de Filippi Sartori1, Irene Fusco2, Tammy Hentona Osaki1
1Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Federal University of São Paulo (EPM/UNIFESP), São Paulo, Brazil.
Background:
Blepharoplasty rectifies functional and aesthetic problems of the periorbital area.
Objective:
This study tests the effectiveness of a combined procedure of blepharoplasty and fractional ablative CO2, resurfacing on a total of 16 patients diagnosed with dermatochalasis and surgical indication for upper blepharoplasty.
Methods:
Patients underwent a combined procedure of blepharoplasty and fractional ablative CO2 resurfacing. The examinations performed were: measurement of the height of the lacrimal meniscus, tear break-up time (FBUT), Schirmer test and Ocular Surface Disease Index questionnaire.
Results:
All values returned to baseline 150 days (5 months) from surgery with improvement of the FBUT value. No significant change or worsening in values was observed after laser application and periorbital blepharoplasty.
Conclusions:
The application of fractional CO2 laser and blepharoplasty could lead to both psychological and social improvement in patients, reducing the potential risks that can lead to dry eye syndrome.
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