Global perspectives on postoperative eye patching among oculofacial plastic surgeons

Area of Science:

• Ophthalmology
• Plastic Surgery
• Surgical Practice Patterns

Background:

• Postoperative patching is a common practice in oculofacial plastic surgery.
• Evidence regarding the benefits and risks of patching is evolving, leading to uncertainties in practice.

Purpose of the Study:

• To evaluate international practice patterns among oculofacial plastic surgeons concerning postoperative patching.
• To identify factors influencing decisions on postoperative patching.

Main Methods:

• A web-based survey was distributed to oculoplastic society members globally.
• The survey comprised 38 questions on patching practices for various oculofacial procedures.
• Descriptive statistics, chi-squared tests, and logistic regression were used for analysis.

Main Results:

• Practices varied significantly by procedure type, with patching rates ranging from 23.9% (lacrimal surgery) to 80.3% (skin graft surgery).
• Surgeons outside the US were more likely to patch for eyelid, orbital, and lacrimal surgeries.
• Older surgeons (≥40 years) were less likely to patch for eyelid and lacrimal surgeries.

Conclusions:

• Significant international variation exists in oculofacial plastic surgery postoperative patching.
• Geographic location, surgeon age, and procedure type are key factors influencing patching decisions.
• Further research is needed to establish optimal patching protocols and develop consensus guidelines.