Effect of Transcutaneous Upper Eyelid Blepharoplasty on Blink Parameters and Lipid Layer Thickness.

Yao Fu,Yan Yan,Siyi Zhang,Yang Lu,Yixiong Zhou

doi:10.3389/fmed.2021.732041

Abstract

Purpose: This study aimed to investigate the effect of transcutaneous upper eyelid blepharoplasty on lipid layer thickness (LLT) and blink parameters in young women during the early postoperative period.Methods: This prospective study included 110 eyes of 55 young female patients (age range, 19–31 years) who underwent transcutaneous upper eyelid blepharoplasty. The LLT and blink parameters measured using a LipiView interferometer were recorded before the surgery and 1 week and 1 month after the surgery. Ocular Surface Disease Index (OSDI) score, noninvasive tear film breakup time (NITBUT), and palpebral fissure height (PFH) measurements were also performed at each time point.Results: The number of blinks significantly decreased (P < 0.001), and the number of partial blinks and partial blink rate (PBR) significantly increased 1 week after the surgery (P = 0.002 and P < 0.001); they all returned to baseline in 1 month. The LLT and OSDI score increased significantly 1 week and 1 month after the surgery (P < 0.001 and P < 0.001). A significant increase in the NITBUT and a significant decrease in the PFH were observed 1 week after the surgery (P < 0.001 and P < 0.001), and the values returned to baseline 1 month after the surgery. No clinical correlation was found between blink parameters and ocular surface parameters.Conclusions: Transcutaneous upper eyelid blepharoplasty led to a change in blink parameters and ocular surface parameters during the early postoperative period. However, this influence was temporary, and the transitory change in blink parameters had no effects on the ocular surface environment.

Highlights

Some Asians have a single upper eyelid or upper eyelid hypertrophy, which makes their eyes appear small and droopy, owing to the difference in fat distribution in the orbital septum and upper eyelid anatomical structures between Asians and the white race [1]
A significant decrease was observed in number of blinks and palpebral fissure height (PFH) 1 week after the surgery; these values returned to baseline 1 month after the surgery
A significant increase in the number of partial blinks and partial blink rate (PBR) was observed 1 week after the surgery, and the values 1 month after the surgery had no significant differences compared with preoperative values

Summary

Introduction

Some Asians have a single upper eyelid or upper eyelid hypertrophy, which makes their eyes appear small and droopy, owing to the difference in fat distribution in the orbital septum and upper eyelid anatomical structures between Asians and the white race [1]. Many Asians, especially young women, choose to undergo upper blepharoplasty to have a pair of attractive double eyelids This surgical procedure is associated with many complications [2, 3], and dry eye disease. Yan et al measured subjective and objective parameters of dry eye in patients who underwent upper blepharoplasty and found that upper eyelid blepharoplasty might temporarily affect tear film dynamics and aggravate dry eye symptoms in young women. These changes generally disappear 3 months after the surgery [5]. Zloto et al [6] confirmed no significant differences between the postoperative and preoperative objective and subjective dry eye tests in patients with blepharoplasty 3 months after the surgery

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Conclusion