Lima Carlos Gustavo de Melo Gonçalves de, Siqueira Giordano Bruno, Cardoso Isabel Habeyche, Sant'Anna Ana Estela Besteti, Osaki Midori Hentona
Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Arq Bras Oftalmol. 2006 Mar-Apr;69(2):227-32. doi: 10.1590/s0004-27492006000200017. Epub 2006 May 8.
To evaluate the importance of objective examinations together with ocular history and orbital and periorbital anatomy, to identifying patients at risk of developing a post-blepharoplasty dry eye complication.
A prospective study was performed on 29 patients with dermatochalasis that were studied before and three months after blepharoplasty. Changes in ocular symptoms, physical examination and in objective tests, like Schirmer's test, tear film break-up time and rose bengal coloration were evaluated.
No statistical significant alteration in results of objective tests, except Schirmer II test, between pre and postoperative period were found. In relation to eyelid anatomy, alterations in palpebral fissure and in excursion of the upper eyelid, that were statistically significant were found after surgery.
It may be stated that palpebral fissure alterations occur frequently in patients submitted to esthetic blepharoplasty. It is also possible to conclude, that in this study, the objective tests for dry eye evaluation, did not demonstrate significant postoperative alterations, except for Schirmer II test.
评估客观检查结合眼部病史以及眼眶和眶周解剖结构对于识别有发生睑成形术后干眼并发症风险患者的重要性。
对29例皮肤松弛症患者进行前瞻性研究，在睑成形术前及术后三个月对其进行研究。评估眼部症状、体格检查以及客观检查（如泪液分泌试验、泪膜破裂时间和孟加拉玫瑰红染色）的变化。
术前与术后期间，除泪液分泌试验II外，客观检查结果未发现有统计学意义的改变。关于眼睑解剖结构，术后发现睑裂和上睑活动度有统计学意义的改变。
可以说，接受美容性睑成形术的患者经常出现睑裂改变。还可以得出结论，在本研究中，除泪液分泌试验II外，用于干眼评估的客观检查未显示出术后有显著改变。
