Aesthetic and Functional Outcomes of Dacryoadenopexy

Abstract

Forty patients underwent bilateral lacrimal gland suspension concomitant with upper and lower lid blepharoplasty. All surgery was performed by the same surgeon (BG). Twenty-eight (70%) patients were available for a mean follow-up period of 19.9 months, and 12 (30%) patients were available only for an early follow-up period (mean = 3.6 months). Of the 40 patients, 20 underwent both preoperative and postoperative Schirmer’s testing. Two patients exhibited “dry eye” symptoms preoperatively. Two (5%) patients had epiphora develop postoperatively, which resolved spontaneously and six (15%) patients complained of “dry eyes,” four of whom had complete resolution of their symptoms within 6 months postoperatively. Only two (5%) patients had persistent mild “dry eye” symptoms. Overall, 38 (95%) of the 40 patients were asymptomatic at their final follow-up evaluations. A correlation between Schirmer’s scores and patients’ symptoms could not be established. No recurrences of lacrimal gland prolapse were found in any of the 28 patients who were available for long-term follow-up.