Effect of upper eyelid blepharoplasty with or without orbicularis oculi muscle removal on anterior segment parameters, keratometry, and ocular biometry

Purpose To evaluate the effect of upper eyelid blepharoplasty with or without the removal of a strip of orbicularis oculi muscle on corneal topographic parameters, anterior segment parameters, intraocular pressure, and ocular biometry. Method This prospective study examined 428 eyes of 214 patients...

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Bibliographic Details
Published in:International ophthalmology 2024-12, Vol.45 (1), p.3, Article 3
Main Authors: Doğan, Levent, Özer, Ömer, Güçlü, Emin Serbülent
Format: Article
Language:English
Subjects:
Adult
Age composition
Aged
Anterior chamber
Anterior Eye Segment - diagnostic imaging
Astigmatism
Axial Length, Eye - pathology
Axl protein
Biometrics
Biometry - methods
Blepharoplasty - methods
Cataracts
Cornea
Cornea - diagnostic imaging
Cornea - pathology
Cornea - surgery
Corneal Topography - methods
Evaluation
Eyelid
Eyelids - pathology
Eyelids - surgery
Female
Humans
Intraocular lenses
Intraocular pressure
Intraocular Pressure - physiology
Male
Medicine
Medicine & Public Health
Middle Aged
Muscles
Oculomotor Muscles - physiopathology
Oculomotor Muscles - surgery
Ophthalmology
Original Paper
Parameters
Pressure effects
Prospective Studies
Segments
Statistical analysis
Young Adult
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Summary:Purpose To evaluate the effect of upper eyelid blepharoplasty with or without the removal of a strip of orbicularis oculi muscle on corneal topographic parameters, anterior segment parameters, intraocular pressure, and ocular biometry. Method This prospective study examined 428 eyes of 214 patients with dermatochalasis. Patients were divided into two groups randomly: those who underwent orbicularis oculi muscle excision (Group 1) during blepharoplasty and those who did not (Group 2). Following a detailed ophthalmological examination, corneal topography was used to evaluate the eyes anterior chamber depth (ACD), iridocorneal angle (ICA), keratometry measurements, and corneal astigmatism (CA) in the preoperative and postoperative first and third months. Ocular biometry was used to assess axial length (AXL) and intraocular lens (IOL) power. Goldmann applanation tonometry was used to measure intraocular pressure (IOP). Results The age and gender distribution between the groups were similar ( p  = 0.595 and p  = 0.493, respectively). In Group 1, the mean steep keratometry (K2) value increased by 1.1 D and the mean CA increased by 0.81 D in the first month ( p  
ISSN:1573-2630
0165-5701
1573-2630
DOI:10.1007/s10792-024-03378-1