title: Short-term changes in tear volume after blepharoptosis repair.
abstract: OBJECTIVE
  The aim was to evaluate tear volume change by using videomeniscometry before and after blepharoptosis surgery.
  
  
  METHODS
  Fifty-nine eyes of 36 patients with blepharoptosis without lacrimal duct obstruction or other eyelid diseases were examined. All the patients underwent levator advancement, and the tear volume was evaluated preoperatively and 1.5 months postoperatively. The margin reflex distance-1 was determined from photographs, and the tear volume was determined by the measurement of tear meniscus radius using videomeniscometry.
  
  
  RESULTS
  The mean margin reflex distance-1 was significantly increased after performing a blepharoptosis surgery (0.13 ± 1.13 mm preoperatively vs. 3.18 ± 0.85 mm postoperatively, P < 0.001). The average tear meniscus radius was significantly decreased (0.31 ± 0.16 mm preoperatively vs. 0.23 ± 0.08 mm postoperatively, P < 0.001). A postoperative reduction in the tear meniscus radius was noted in 46 eyes (78%) of 31 patients, and no reduction was noted in 13 eyes (22%) of 12 patients. Preoperative higher tear meniscus radius values were more likely to be decreased (P < 0.01).
  
  
  CONCLUSIONS
  The tear volume was decreased after the blepharoptosis surgery was performed, especially for an initially high tear volume.
authors.affiliation: *Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan; †Department of Ophthalmology, Aichi Medical University of Medicine, Nagakute, Japan; and ‡Discipline of Ophthalmology and Visual Sciences, South Australian Institute of Ophthalmology and Royal Adelaide Hospital, Adelaide, Australia.
authors.forename: Akihide
authors.initials: A
authors.lastname: Watanabe
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Kakizaki
authors.forename: Dinesh
authors.initials: D
authors.lastname: Selva
authors.forename: Madoka
authors.initials: M
authors.lastname: Ohmae
authors.forename: Norihiko
authors.initials: N
authors.lastname: Yokoi
authors.forename: Koichi
authors.initials: K
authors.lastname: Wakimasu
authors.forename: Naoko
authors.initials: N
authors.lastname: Kimura
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kinoshita
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001763:Blepharoptosis / Q000378:metabolism / Q000601:surgery*; D015352:Dry Eye Syndromes / Q000209:etiology / Q000378:metabolism; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery; D011183:Postoperative Complications / Q000378:metabolism; D013666:Tears / Q000378:metabolism*; D014743:Videotape Recording