de Lima Carlos Gustavo de Melo Gonçalves, Siqueira Giordano Bruno, Cardoso Isabel Habeyche, Sant'Anna Ana Estela Besteti, Osaki Midori Hentona
Setor de Plástica Ocular, Universidade Federal de São Paulo, Rua Botucatu 822, CEP 04023-062 São Paulo, SP, Brazil.
Arq Bras Oftalmol. 2006 May-Jun;69(3):377-82.
To evaluate the importance of objective examinations in conjunction with ocular history and orbital and periorbital anatomy, to identify patients at risk of developing a post-blepharoplasty dry eye complication.
A prospective study was performed on 29 patients with dermatochalasis who 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 statistically significant alteration in results of objective tests, except Schirmer II test, was found between the pre- and postoperative period. Regarding eyelid anatomy, alterations in palpebral fissure and excursion of the upper eyelid were observed that were statistically significant postoperatively.
It is possible to state that the palpebral fissure alterations happen frequently in patients submitted to esthetic blepharoplasty. It was also possible to conclude, by this study, that the objective tests for dry eye evaluation, did not show significant alterations postoperatively, except for Schirmer II test.
结合眼部病史、眼眶及眶周解剖结构评估客观检查的重要性，以识别有发生睑成形术后干眼并发症风险的患者。
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进行检查。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。
术前和术后期间，除泪液分泌试验II外，客观检查结果无统计学显著变化。关于眼睑解剖结构，观察到睑裂和上睑活动度的改变在术后具有统计学意义。
可以说，接受美容性睑成形术的患者经常出现睑裂改变。通过本研究还可以得出结论，除泪液分泌试验II外，干眼评估的客观检查术后未显示出显著变化。
