DERMATOŞALAZİSDE ÜST BLEFAROPLASTİ CERRAHİSİNİN KERATOMETRİ ÜZERİNE ETKİLERİ
Öz
Amaç: Üst göz kapağı dermatoşalazis hastalarında uygulanan blefaroplasti cerrahisinin postoperatif dönemde keratometri ve kornea kalınlığı üzerindeki etkilerinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Ocak 2022 - Nisan 2023 tarihleri arasında Erciyes Üniversitesi Oftalmoloji Kliniği'nde tedavi edilen 23 hastanın 45 gözü retrospektif olarak değerlendirildi. Hastaların preoperatif ve postoperatif 1. ayda ön segment swept source optik koherens tomografi görüntülemesi (Anterion®, Heidelberg) ile yapılan keratometrik ve korneal kalınlık ölçümleri karşılaştırıldı.
Bulgular: Postoperatif anterior dik ve düz keratometrik değerlerinde istatistiksel olarak anlamlı azalma gözlemlense de (p<0.001) ortalama keratometride anlamlı değişiklik elde edilmedi(p=0.19). Aynı zamanda anterior astigmatizma değerinde de anlamlı bir azalma kaydedilmiştir (p=0.001). Bununla birlikte, posterior keratometrik parametreler ve korneal kalınlıkta anlamlı bir değişiklik saptanmamıştır.
Sonuç: Blefaroplasti cerrahisi, anterior korneal yüzeyde belirgin topografik değişikliklere yol açarken, posterior keratometri ve kornea kalınlığının etkilenmediği görülmüştür. Bu bulgular, refraktif cerrahi ve intraoküler lens planlamalarında göz kapağı cerrahisinin etkilerinin dikkate alınması gerekliliğini ortaya koymaktadır.
Anahtar Kelimeler
Kaynakça
- Rodrigues, C., Carvalho, F. & Marques, M. Upper Eyelid Blepharoplasty: Surgical Techniques and Results—Systematic Review and Meta-analysis. Aesth Plast Surg. 2023;47: 1870–1883. doi: 10.1007/s00266-023-03436-6.
- 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(12):2906-2910. doi: 10.4103/ijo.IJO_907_20
- Arslan N, Kocamış Sİ, Sabur H, Acar M. Evaluation of the Effect of Dermatochalasis and Upper Eyelid Blepharoplasty Surgery on Corneal Epithelial Thickness Alterations. Aesthetic Plast Surg. 2023;47(2):647-651. doi: 10.1007/s00266-022-03131-y
- Altin Ekin M, Karadeniz Ugurlu S. Prospective analysis of visual function changes in patients with dermatochalasis after upper eyelid blepharoplasty. Eur J Ophthalmol. 2020;30(5):978-984. doi: 10.1177/1120672119857501
- Tañá-Rivero P, Aguilar-Córcoles S, Ruiz-Mesa R, Montés-Micó R. Repeatability of whole-cornea measurements using a new swept-source optical coherence tomographer. Eur J Ophthalmol. 2021;31(4):1709-1719. doi: 10.1177/1120672120944022
- Ulas, B., Ozcan, A., Yar, K., Kaya, I., & Binokay, H. (2024). Evaluation of visual field and ocular surface parameters by clinical comparison after blepharoplasty for dermatochalasis. Journal francais d'ophtalmologie. 2024; 47(4): 104135. doi: 10.1016/j.jfo.2024.104135
- Yamamoto, Risako MD; Ono, Takashi MD; Toyono, Tetsuya MD, PhD; et al. Assessment of Long-Term Anterior and Posterior Topographic Changes in the Cornea After Ptosis Surgery Using Fourier Harmonic Analysis. Cornea. 2021;40(4): 440-444. doi: 10.1097/ICO.0000000000002429
- Kim, Yoon Kyung MD; In, Jung Hee MD; Jang, Sun Young MD. Changes in Corneal Curvature After Upper Eyelid Surgery Measured by Corneal Topography. Journal of Craniofacial Surgery. 2016; 27(3): e235-e238. doi: 10.1097/SCS.0000000000002435
- 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. Seminars in Ophthalmology. 2014; 30(3):193–196. doi: 10.3109/08820538.2013.839803
- Zinkernagel MS, Ebneter A, Ammann-Rauch D. Effect of upper eyelid surgery on corneal topography. Arch Ophthalmol. 2007;125:1610–2. doi: 10.1001/archopht.125.12.1610.
- Victoria AC, Chuck RS, Rosenberg J, Schwarcz RM. Timing of eyelid surgery in the setting of refractive surgery: Preoperative and postoperative considerations. Curr Opin Ophthalmol. 2011;22:226–32. doi: 10.1097/ICU.0b013e328347b275
Effects of upper blepharoplasty surgery on keratometry in dermatochalasis
Öz
Aim: This study aims to evaluate the effects of blepharoplasty surgery on keratometry and corneal thickness in the postoperative period in patients with upper eyelid dermatochalasis.
Materials and Methods: A retrospective analysis was conducted on 45 eyes of 23 patients treated at the Erciyes University Ophthalmology Clinic between January 2022 and April 2023. Preoperative and postoperative first-month keratometric and corneal thickness measurements obtained via anterior segment swept-source optical coherence tomography (Anterion®, Heidelberg) were compared.
Results: Although a statistically significant reduction was observed in postoperative anterior steep and flat keratometric values (p < 0.001), no significant change was detected in mean keratometry (p = 0.190). Additionally, a significant decrease in anterior astigmatism was recorded (p = 0.001). However, no significant changes were found in posterior keratometric parameters or corneal thickness.
Conclusion: While blepharoplasty surgery induces notable topographic changes on the anterior corneal surface, posterior keratometry and corneal thickness remain unaffected. These findings highlight the need to consider the effects of eyelid surgery in refractive surgery and intraocular lens planning.
Anahtar Kelimeler
Etik Beyan
The study was approved by the Clinical Research Ethics Committee of Erciyes University Faculty of Medicine date:05.02.2025, approval number: 2025/45
Kaynakça
- Rodrigues, C., Carvalho, F. & Marques, M. Upper Eyelid Blepharoplasty: Surgical Techniques and Results—Systematic Review and Meta-analysis. Aesth Plast Surg. 2023;47: 1870–1883. doi: 10.1007/s00266-023-03436-6.
- 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(12):2906-2910. doi: 10.4103/ijo.IJO_907_20
- Arslan N, Kocamış Sİ, Sabur H, Acar M. Evaluation of the Effect of Dermatochalasis and Upper Eyelid Blepharoplasty Surgery on Corneal Epithelial Thickness Alterations. Aesthetic Plast Surg. 2023;47(2):647-651. doi: 10.1007/s00266-022-03131-y
- Altin Ekin M, Karadeniz Ugurlu S. Prospective analysis of visual function changes in patients with dermatochalasis after upper eyelid blepharoplasty. Eur J Ophthalmol. 2020;30(5):978-984. doi: 10.1177/1120672119857501
- Tañá-Rivero P, Aguilar-Córcoles S, Ruiz-Mesa R, Montés-Micó R. Repeatability of whole-cornea measurements using a new swept-source optical coherence tomographer. Eur J Ophthalmol. 2021;31(4):1709-1719. doi: 10.1177/1120672120944022
- Ulas, B., Ozcan, A., Yar, K., Kaya, I., & Binokay, H. (2024). Evaluation of visual field and ocular surface parameters by clinical comparison after blepharoplasty for dermatochalasis. Journal francais d'ophtalmologie. 2024; 47(4): 104135. doi: 10.1016/j.jfo.2024.104135
- Yamamoto, Risako MD; Ono, Takashi MD; Toyono, Tetsuya MD, PhD; et al. Assessment of Long-Term Anterior and Posterior Topographic Changes in the Cornea After Ptosis Surgery Using Fourier Harmonic Analysis. Cornea. 2021;40(4): 440-444. doi: 10.1097/ICO.0000000000002429
- Kim, Yoon Kyung MD; In, Jung Hee MD; Jang, Sun Young MD. Changes in Corneal Curvature After Upper Eyelid Surgery Measured by Corneal Topography. Journal of Craniofacial Surgery. 2016; 27(3): e235-e238. doi: 10.1097/SCS.0000000000002435
- 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. Seminars in Ophthalmology. 2014; 30(3):193–196. doi: 10.3109/08820538.2013.839803
- Zinkernagel MS, Ebneter A, Ammann-Rauch D. Effect of upper eyelid surgery on corneal topography. Arch Ophthalmol. 2007;125:1610–2. doi: 10.1001/archopht.125.12.1610.
- Victoria AC, Chuck RS, Rosenberg J, Schwarcz RM. Timing of eyelid surgery in the setting of refractive surgery: Preoperative and postoperative considerations. Curr Opin Ophthalmol. 2011;22:226–32. doi: 10.1097/ICU.0b013e328347b275
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Göz Hastalıkları, Göz Ölçümleri |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 8 Eylül 2025 |
| Gönderilme Tarihi | 17 Nisan 2025 |
| Kabul Tarihi | 6 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 64 Sayı: 3 |
