[Evaluation of dry eye in before and after blepharoplasty].
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.
Lima
Carlos Gustavo de Melo Gonçalves de
CG
Universidade Federal de São Paulo, São Paulo, SP, Brazil. carlosgustav@hotmail.com
Siqueira
Giordano Bruno
GB
Cardoso
Isabel Habeyche
IH
Sant'Anna
Ana Estela Besteti
AE
Osaki
Midori Hentona
MH
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
D005456:Fluorescent Dyes; D012395:Rose Bengal