Department of Ophthalmology, Shanghai 9th Peoples Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Department of Ophthalmology, Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, No.639 Zhizaoju Road, Shanghai, 200011, China.
Aesthetic Plast Surg. 2020 Dec;44(6):2109-2116. doi: 10.1007/s00266-020-01874-0. Epub 2020 Jul 21.
Dry eye symptoms as a complication of double-eyelid blepharoplasty are controversial. This article evaluates tear film dynamics and changes in dry eye symptoms after cosmetic double-eyelid blepharoplasty in young Asian female.
One hundred and twenty patients underwent full-incisional double-eyelid blepharoplasty. Subjective and objective parameters were documented before surgery, at 1 week, 1 month and 3 months post-surgery, which included Ocular Surface Disease Index questionnaire (OSDI), tear meniscus height (TMH), noninvasive breakup time (NIBUT), Schirmer I test, corneal and conjunctival fluorescein staining scores, and palpebral fissure height. Dry eyes were defined based on the DEWS II criteria: OSDI ≥ 13 points and NIBUT < 10 s. Patients were divided into two groups, group A included patients with redundant skin, while group B included patients with absence of redundant skin.
The incident rate of dry eyes preoperatively, and at 1 week, 1 month and 3 months were 12.5%, 12.5%, 32.5%, and 16.67%. OSDI scores were significantly increased at 1 week (9.71 ± 10.07, P < 0.001) and 1 month (11.35 ± 12.28, P < 0.001) postoperatively. A significant increase in TMH, NIBUT and Schirmer's test I values were observed at 1 week post-surgery (P < 0.001). Patients in group A showed higher OSDI scores compared to group B at 1 week and 1 month (P = 0.051) post-surgery, and the other variables showed no difference between the groups.
Cosmetic double-eyelid blepharoplasty may temporarily affect tear film dynamics and aggravate dry eye symptoms in young females. However, these changes generally recover 3 months postoperatively.
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双眼皮术后出现干眼症状是有争议的。本文评估了年轻亚洲女性行美容性双眼皮术后的泪膜动力学和干眼症状变化。
120 例患者行全层切开式双眼皮术。术前、术后 1 周、1 个月和 3 个月记录主观和客观参数，包括眼表疾病指数问卷（OSDI）、泪膜月牙高度（TMH）、非侵入性泪膜破裂时间（NIBUT）、Schirmer I 试验、角膜和结膜荧光素染色评分以及睑裂高度。干眼根据 DEWS II 标准定义：OSDI≥13 分和 NIBUT＜10s。患者分为两组，A 组包括有多余皮肤的患者，B 组包括无多余皮肤的患者。
术前、术后 1 周、1 个月和 3 个月干眼的发生率分别为 12.5%、12.5%、32.5%和 16.67%。术后 1 周（9.71±10.07，P＜0.001）和 1 个月（11.35±12.28，P＜0.001）时 OSDI 评分显著升高。术后 1 周时 TMH、NIBUT 和 Schirmer I 试验值显著增加（P＜0.001）。术后 1 周和 1 个月时 A 组患者的 OSDI 评分高于 B 组（P=0.051），而其他变量两组间无差异。
美容性双眼皮术可能会暂时影响泪膜动力学并加重年轻女性的干眼症状。然而，这些变化通常在术后 3 个月内恢复。
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