McKinney P, Zukowski M L
Division of Plastic and Reconstructive Surgery, Northwestern University Medical School, Chicago, Ill.
Plast Reconstr Surg. 1989 Oct;84(4):572-6; discussion 577.
The results of tear film breakup (BUT) and Schirmer's I and II tests were retrospectively analyzed on 146 patients undergoing elective blepharoplasty over a 41-month period. These tests were evaluated in conjunction with ocular history, orbital and periorbital anatomy, and Bell's phenomenon in order to determine their value, if any, in identifying patients at risk of developing a post-blepharoplasty dry eye complication. One-hundred and six patients (73 percent) had test results that were within normal limits, and two of these patients (1.9 percent) complained postoperatively of a transient gritty or burning sensation. Forty patients (27 percent) had abnormal results to one, two, or all three tests, and two of these patients (5 percent) also complained postoperatively of a transient gritty or burning sensation. These four symptomatic patients all had preoperative dry eye histories and abnormal orbital and periorbital anatomy. When analyzed alone, an abnormal tear film breakup (BUT) or Schirmer's test was not a good predictor of possible postblepharoplasty dry eye complications. An abnormal preoperative ocular history or abnormal orbital and periorbital anatomy proved to be the best predictor for the possible development of a postblepharoplasty dry eye complication.
对146例在41个月期间接受择期眼睑成形术的患者的泪膜破裂时间（BUT）以及Schirmer I和II试验结果进行了回顾性分析。这些检查与眼部病史、眼眶及眶周解剖结构以及贝尔现象一起进行评估，以确定它们在识别有发生眼睑成形术后干眼并发症风险患者方面的价值（如果有任何价值的话）。106例患者（73%）的检查结果在正常范围内，其中2例患者（1.9%）术后抱怨有短暂的沙砾感或烧灼感。40例患者（27%）一项、两项或三项检查结果异常，其中2例患者（5%）术后也抱怨有短暂的沙砾感或烧灼感。这4例有症状的患者术前均有干眼病史且眼眶及眶周解剖结构异常。单独分析时，泪膜破裂时间（BUT）异常或Schirmer试验异常并非眼睑成形术后可能发生干眼并发症的良好预测指标。术前眼部病史异常或眼眶及眶周解剖结构异常被证明是眼睑成形术后可能发生干眼并发症的最佳预测指标。
