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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(04): 473-478
DOI: 10.1055/s-0042-1751101
Cosmetic
Original Article

Study to the Effect of Involutional Blepharoptosis Surgery Using Objective and Subjective Parameters

Authors

  • Shinichi Asamura 

    1   Department of Plastic and Reconstructive Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan

  • Yoshitaka Wada 

    1   Department of Plastic and Reconstructive Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan

  • Saiichi Tanaka 

    2   Department of Ophthalmology, Wakayama Medical University, Wakayama City, Wakayama, Japan

  • Shizuya Saika 

    2   Department of Ophthalmology, Wakayama Medical University, Wakayama City, Wakayama, Japan

Funding None.
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Abstract

Background We investigate the effect of involutional blepharoptosis (IB) surgery based on dry eye symptoms by analysis using objective and subjective measures.

Methods We recorded various parameters from patients that underwent levator advancement surgery for IB, totaling 125 eyes (total 65 patients, 5 unilateral, 60 bilateral). Subjective assessment comprised a questionnaire on dry eye-related quality of life score (DEQS), a summary score calculated from DEQS, and six-grade evaluation, the patient's own measure of eye comfort. Objective assessment comprised marginal-reflex distance-1 (MRD-1), measurement of tear film breakup time, and superficial keratopathy (SPK) existence by slit lamp microscope.

Results Subjective assessments showed that IB patients had improvement of dry eye symptoms and eye comfort when surgery increased MRD-1. On the other hand, objective assessments showed that the presence of SPK is suspected when the postoperative MRD-1 level is 3 mm or higher.

Conclusion IB surgery must not only increase MRD-1 value, but also to perform maintenance of the appropriate ocular surface condition. From our parameters, we suggest postoperative MRD-1 value should be maintained at < 3 mm to safe and effective of IB surgery.

Keywords

involutional blepharoptosis - dry eye-related quality of life score questionnaire - marginal-reflex distance-1 - tear film breakup time and superficial keratopathy

Author Contributions

Design and conceptualization of the study: S.A. and S.S. Study conduction: Y.W. and S.T. Data curation: S.A., Y.W., and S.T. Writing - original draft: S.A. Writing-review & editing: S.A. and S.S. All authors read and approved the final manuscript.


Ethical Approval

Approval was obtained from our hospital Institutional Review Board prior to initiation of this study (authorization number: 1718, IRB number: 11000505, Registration number: 5NuhaMi2Pm).


Patient Consent

The research was conducted in accordance with the Declaration of Helsinki, and prior written informed consent was obtained from all patients after receiving a detailed explanation of the study protocols and the possible consequences associated with participation.


Prior Presentation

This study was presented at the 62nd Annual Meeting of the Japan Society of Plastic and Reconstructive Surgery, May 15–17, 2019.


Ethical Approval

This study was approved by the Keio University School of Medicine Ethics Committee (approval no. 20070026).




Publikationsverlauf

Artikel online veröffentlicht:
30. Juli 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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