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BMC Ophthalmology
Published in: BMC Ophthalmology 1/2023

Open Access 01-12-2023 | Blepharoplasty | Review

Corneal biophysical changes after upper eyelid blepharoplasty and ptosis surgery: a review

Authors: Mostafa Heidari, Ali A. Haydar, Mohammad Taher Rajabi, Seyed Mohsen Rafizadeh

Published in: BMC Ophthalmology | Issue 1/2023

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Abstract

Upper eyelid surgeries, such as blepharoplasty and ptosis correction, are commonly performed procedures worldwide. This review examines the effects of these surgeries on ocular properties and visual function. A search of the PubMed and Google Scholar databases was conducted to identify relevant articles published after 2000. The results demonstrate that the ocular and adnexal organs function as a unified visual system, with changes in one component affecting the functions of others. Eyelid surgery can alter ocular properties and functions by modifying retinal lighting and ocular optics. These alterations can affect intraocular pressure estimation, corneal curvature, corneal epithelial thickness, refractive power of the cornea, and intraocular lens calculation. Additionally, eyelid surgery can exacerbate dry eye symptoms and impact contrast sensitivity, which is a significant factor in visual quality. Therefore, understanding these interactions is crucial before performing eyelid surgery and during follow-up. This review summarizes recent literature on the effects of upper eyelid surgery on corneal properties and visual function, emphasizing the importance of considering these factors when planning or undergoing such procedures.
Literature
1.
Gadkaree SK, McCarty JC, Weitzman RE, Derakhshan A, et al. Associations between national financial trends and facial plastic surgery procedural volume. Laryngoscope. 2020;130:632–6.CrossRefPubMed
2.
Kim JW, Lee H, Chang M, Park M, Lee TS, Baek S. What causes increased contrast sensitivity and improved functional visual acuity after upper eyelid blepharoplasty? J Craniofac Surg. 2013;24:1582–5.CrossRefPubMed
3.
4.
Sommer F, Untch E, Spoerl E, Herber R, Pillunat LE, Terai N. Effect of upper eyelid blepharoplasty on corneal biomechanical, topographic and tomographic parameters 4 weeks after surgery. Int Ophthalmol. 2022;42:113–21.CrossRefPubMed
5.
6.
Dogan AS, Acar M, Kosker M, Arslan N, Gurdal C. Alterations in corneal epithelial thickness in patients with congenital myogenic eyelid ptosis. Int Ophthalmol. 2018;38:53–7.PubMed
7.
Li X, Liu C, Mao Z, Liang X, et al. Effect of congenital blepharoptosis on corneal biomechanical properties and changes after ptosis surgery. Eye. 2020;34:1055–62.CrossRefPubMed
8.
Uğurbaş SH, Zilelioğlu G. Corneal topography in patients with congenital ptosis. Eye. 1999;13:550–4.CrossRefPubMed
9.
Simsek IB, Yilmaz B, Yildiz S, Artunay O. Effect of upper eyelid blepharoplasty on vision and corneal tomographic changes measured by pentacam. Orbit. 2015;34:263–7.CrossRefPubMed
10.
Fagien S. Reducing the incidence of dry eye symptoms after blepharoplasty. Aesthet Surg J. 2004;24:464–8.CrossRefPubMed
11.
Rymer BL, Marinho DR, Cagliari C, Marafon SB, Procianoy F. Effects of Muller’s muscle-conjunctival resection for ptosis on ocular surface scores and dry eye symptoms. Orbit. 2017;36:1–5.CrossRefPubMed
12.
Saadat D, Dresner SC. Safety of blepharoplasty in patients with preoperative dry eyes. Arch Facial Plast Surg. 2004; 6:101
13.
Kim HH, De Paiva CS, Yen MT. Effects of upper eyelid blepharoplasty on ocular surface sensation and tear production. Can J Ophthalmol. 2007;42:739–42.CrossRefPubMed
14.
Zinkernagel MS, Ebneter A, Ammann-Rauch D. Effect of upper eyelid surgery on corneal topography. Arch Ophthalmol. 2007;125:1610–2.CrossRefPubMed
15.
Rogers SA, Khan-Lim D, Manners RM. Does upper lid blepharoplasty improve contrast sensitivity? Ophthal Plast Reconstr Surg. 2012;28:163–5.CrossRefPubMed
16.
Dogan E, Akbas Kocaoglu F, Yalniz-Akkaya Z, Elbeyli A, Burcu A, Ornek F. Scheimpflug imaging in dermatochalasis patients before and after upper eyelid blepharoplasty. Semin Ophthalmol; 2015; 30:193–196.
17.
An SH, Jin SW, Kwon YH, Ryu WY, Jeong WJ, Ahn HB. Effects of upper lid blepharoplasty on visual quality in patients with lash ptosis and dermatochalasis. Int J Ophthalmol. 2016;9:1320.PubMedPubMedCentral
18.
Kim YK, In JH, Jang SY. Changes in corneal curvature after upper eyelid surgery measured by corneal topography. J Craniofac Surg. 2016;27:e235–8.CrossRefPubMed
19.
F Mohammed M. Impact of orbicularis oculi muscle strip excision during upper lid blepharoplasty on tear film break up time and postoperative dry eye symptoms. Al-Azhar Med J. 2018;47:539–550.
20.
Nalci H, Hosal MB, Gunduz OU. Effects of upper eyelid blepharoplasty on contrast sensitivity in dermatochalasis patients. Turk J Ophthalmol. 2020;50:151–6.CrossRefPubMedPubMedCentral
21.
Bhattacharjee K, Misra D, Singh M, Deori N. Long-term changes in contrast-sensitivity, corneal topography and higher-order aberrations after upper eyelid blepharoplasty: A prospective interventional study. Indian J Ophthalmol. 2020;68:2906.CrossRefPubMedPubMedCentral
22.
Altin Ekin M, Karadeniz US. Prospective analysis of visual function changes in patients with dermatochalasis after upper eyelid blepharoplasty. Eur J Ophthalmol. 2020;30:978–84.CrossRefPubMed
23.
Brown MS, Siegel IM, Lisman RD. Prospective analysis of changes in corneal topography after upper eyelid surgery. Ophthal Plast Reconstr Surg. 1999;15:378–83.CrossRefPubMed
24.
Kumar DA, Agarwal A, Prakash G, Boptm NV, Packiyalakshmi S, Agarwal A. Effect of unilateral congenital ptosis on ocular higher order aberrations in children. Med Hypothesis Discov Innov Ophthalmol. 2013;2:86.
25.
Uğurbaş SH, Alpay A, Bahadır B, Uğurbaş SC. Tear function and ocular surface after muller muscle-conjunctival resection. Indian J Ophthalmol. 2014;62:654.CrossRefPubMedPubMedCentral
26.
Wee SW, Lee JK. Clinical outcomes of Conjunctiva-Müller muscle resection: association with phenylephrine test-negative blepharoptosis and dry eye syndrome. J Craniofac Surg. 2014;25:898–901.CrossRefPubMed
27.
Fowler BT, Pegram TA, Cutler-Peck C, Kosko M, et al. Contrast sensitivity testing in functional ptosis and dermatochalasis surgery. Ophthal Plast Reconstr Surg. 2015;31:272–4.CrossRefPubMed
28.
Mohammed AE-G, Amin Anwar El-Masry M, El-Shiekh AE-S. Corneal topographic changes after eyelid ptosis surgeries measured by corneal topography. Al-Azhar Med J. 2021;50:1119–1126.
29.
Karabulut GO, Fazil K. Corneal topographical changes after Müller’s muscle-conjunctival resection surgery. Ophthal Plast Reconstr Surg. 2019;35:177–81.CrossRef
30.
Youssef AY, Abo-eleinin MA-e, Salama OH. Corneal topographic changes after eyelid ptosis surgery. Al-Azhar Int Med J. 2020;1:236–241.
31.
Gandhi A, Mehta A, Naik M. Does frontalis sling surgery for congenital ptosis change the corneal topography and refractive characteristics postoperatively? Clinical Ophthalmology (Auckland, NZ). 2020;14:3667.CrossRef
32.
Numata A, Yunoki T, Otsuka M, Hayashi A. Corneal topographic changes after blepharoptosis surgery in patients with deepening of the upper eyelid sulcus. Jpn J Ophthalmol. 2021;65:282–7.CrossRefPubMed
33.
Assadi FA, Narayana S, Yadalla D, Rajagopalan J, Joy A. Effect of congenital ptosis correction on corneal topography-A prospective study. Indian J Ophthalmol. 2021;69:1527.CrossRefPubMedPubMedCentral
34.
35.
ABDEL RAHMAN IH, ISMAIL ZF, ELREDY AS, SHAAT AA. Corneal topographic changes after correction of ptosis by Levator muscle resection measured by Scheimpflug Imaging. Med J Cairo Univ. 2022;90:747–753.
36.
Ceylan NA, Yeniad B. Effects of Upper Eyelid Surgery on the Ocular Surface and Corneal Topography. Turk J Ophthalmol. 2022;52:50.CrossRef
37.
Helmholtz HL. Helmholtz's treatise on physiological optics. Dover; 1962.
38.
Holck D, Dutton JJ, Wehrly SR. Changes in astigmatism after ptosis surgery measured by corneal topography. Ophthal Plast Reconstr Surg. 1998;14:151–8.CrossRefPubMed
39.
Parbhu KC, Hawthorne KM, McGwin G Jr, Vicinanzo MG, Long JA. Patient experience with blepharoplasty. Ophthal Plast Reconstr Surg. 2011;27:152–4.CrossRefPubMed
40.
Agrawal G, Ravani S. Astigmatic changes following ptosis correction surgery in 30 consecutive children seen in a regional institute of ophthalmology. Int J Curr Res. 2016;8:1.
41.
Sussenbach EC, Thomas DA, Patterson EG, Bogorad DD. Keratoconus unmasked by unilateral ptosis repair. Ophthal Plast Reconstr Surg. 2012;28:e32–3.CrossRefPubMed
42.
Hollander MH, Contini M, Pott JW, Vissink A, Schepers RH, Jansma J. Functional outcomes of upper eyelid blepharoplasty: a systematic review. J Plast Reconstr Aesthet Surg. 2019;72:294–309.CrossRefPubMed
43.
Gingold MP, Ehlers WH, Rodgers IR, Hornblass A. Changes in refraction and keratometry after surgery for acquired ptosis. Ophthal Plast Reconstr Surg. 1994;10:241–6.CrossRefPubMed
44.
Rosa N, Lanza M, De Bernardo M, Signoriello G, Chiodini P. Relationship between corneal hysteresis and corneal resistance factor with other ocular parameters. Semin Opthalmol. 2015; 30:335–339.
45.
Packer M, Fine IH, Hoffman RS. Functional vision, contrast sensitivity, and optical aberrations. Int Ophthalmol Clin. 2003;43:1–3.CrossRefPubMed
46.
Han W, Kwan W, Wang J, Yip SP, Yap M. Influence of eyelid position on wavefront aberrations. Ophthalmic Physiol Opt. 2007;27:66–75.CrossRefPubMed
47.
Dailey RA, Saulny SM, Sullivan SA. Müller muscle–conjunctival resection: effect on tear production. Ophthal Plast Reconstr Surg. 2002;18:421–5.CrossRefPubMed
48.
McKinney P, Byun M. The value of tear film breakup and Schirmer's tests in preoperative blepharoplasty evaluation. Plast Reconstr Surg. 1999;104:566–569; discussion 570.
Metadata
Title
Corneal biophysical changes after upper eyelid blepharoplasty and ptosis surgery: a review
Authors
Mostafa Heidari
Ali A. Haydar
Mohammad Taher Rajabi
Seyed Mohsen Rafizadeh
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2023
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-023-03010-3

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