Bad eye state and its repair of ectropion and heavy eyelid line sag after blepharoplasty

Abstract

Objective To discuss the unsatisfied appearance of upper eyelid after double eyelid blepharoplasty,and to present its therapeutic schedule,curative effects,pathogenesis and precautions.Methods All eyes were classified into two types and repaired.Each upper eyelid was horizontally and equally divided into three sections named as Ⅰ,Ⅱ,and Ⅲ from inner to outer canthus.The lift-up angles (LA) of the 3 sections,the relative areas of exposed central eyelid margin (RA) of headup position and looking-up were measured on the upper eyelid margin ectropion of eyes.The relative depth of double-eyelid fold (RD) of 3 sections were measured on the double-eyelid fold depression of eyes.Results Six months after the repair,the grades of both types were significantly different from the grades before (P＜0.01).Concerning 18 upper eyelid margin ectropion eyes,LA in section Ⅱ changed from (95.11±9.66)° to (79.50≈6.71)° (P＜0.05) while there were no significant change in sections Ⅰ and Ⅲ (P＞0.05),and the RA of head-up position changed from (4.22±0.66) × 10-2 to (0.23± 0.22) × 10-2 while the RA of looking-up changed from (4.51 ± 0.65) × 10-2 to (0.59 ±0.21) × 10-2 (p＜ 0.05).Concerning 24 double-eyelid fold depression eyes,the RD in section Ⅰchanged from (7.14±0.89) × 10-2 to (1.70±0.61) × 10-2 and the RD in section Ⅱ changed from (8.90±0.90) × 10-2 to (2.28±0.63) × 10-2 (P＜0.05),while there were no significant change in section Ⅲ (P＞0.05).Conclusions Unsatisfied appearance after double eyelid blepharoplasty must be paid highly attention in clinical setting,and the appearance and symptoms can be effectively improved by using proper surgical procedures. Key words: Blepharoplasty; Postoperative complications; Eyelid margin; Unsatisfied appearance of upper eyelid