title: [Evaluation of dry eye in before and after blepharoplasty].
abstract: OBJECTIVE
  To evaluate the importance of objective examinations together with ocular history and orbital and periorbital anatomy, to identifying patients at risk of developing a post-blepharoplasty dry eye complication.
  
  
  METHODS
  A prospective study was performed on 29 patients with dermatochalasis that were studied before and three months after blepharoplasty. Changes in ocular symptoms, physical examination and in objective tests, like Schirmer's test, tear film break-up time and rose bengal coloration were evaluated.
  
  
  RESULTS
  No statistical significant alteration in results of objective tests, except Schirmer II test, between pre and postoperative period were found. In relation to eyelid anatomy, alterations in palpebral fissure and in excursion of the upper eyelid, that were statistically significant were found after surgery.
  
  
  CONCLUSIONS
  It may be stated that palpebral fissure alterations occur frequently in patients submitted to esthetic blepharoplasty. It is also possible to conclude, that in this study, the objective tests for dry eye evaluation, did not demonstrate significant postoperative alterations, except for Schirmer II test.
authors.affiliation: Universidade Federal de São Paulo, São Paulo, SP, Brazil. carlosgustav@hotmail.com
authors.forename: Carlos Gustavo de Melo Gonçalves de
authors.initials: CG
authors.lastname: Lima
authors.forename: Giordano Bruno
authors.initials: GB
authors.lastname: Siqueira
authors.forename: Isabel Habeyche
authors.initials: IH
authors.lastname: Cardoso
authors.forename: Ana Estela Besteti
authors.initials: AE
authors.lastname: Sant'Anna
authors.forename: Midori Hentona
authors.initials: MH
authors.lastname: Osaki
mesh_terms: D000328:Adult; D000368:Aged; D019882:Blepharoplasty / Q000009:adverse effects*; D015352:Dry Eye Syndromes / Q000175:diagnosis / Q000209:etiology*; D005141:Eyelid Diseases / Q000601:surgery*; D005260:Female; D005456:Fluorescent Dyes; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011300:Preoperative Care; D011446:Prospective Studies; D012395:Rose Bengal; D012737:Sex Factors
chemical_list: D005456:Fluorescent Dyes; D012395:Rose Bengal