Influence of Upper Eyelid Surgeries on Corneal Morphology Detected with Pentacam
Aesthetic Plastic Surgery, cilt.47, sa.6, ss.2432-2439, 2023 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 47 Sayı: 6
- Basım Tarihi: 2023
- Doi Numarası: 10.1007/s00266-023-03366-3
- Dergi Adı: Aesthetic Plastic Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE
- Sayfa Sayıları: ss.2432-2439
- Anahtar Kelimeler: Acquired aponeurotic ptosis, Astigmatism, Corneal topography, Dermatochalasis, Pentacam
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To analyze the corneal morphological parameters before and one month after the upper eyelid (UE) blepharoplasty and external levator resection (ELR) for ptosis surgery. Materials and Methods: Seventy eyes of 70 patients with dermatochalasis (50 eyes) and acquired aponeurotic ptosis (AAP) (20 eyes) included in this prospective study. Detailed ophthalmologic examination was performed including the best corrected visual acuity (BCVA), slit lamp examination and dilated fundoscopy. Measurements were made before and one month after the surgeries using Pentacam. Central corneal thickness (CCT), pupil center pachymetry (PCP) and thinnest pachymetry (TP), cornea front astigmatism (AST), flat keratometry (K1), steep keratometry (K2) and mean keratometry (Km) values were evaluated. Results: Higher postoperative Km measurements were observed in dermatochalasis (p = 0.038) patients. Postoperative AST values were significantly lower in both dermatochalasis and ptosis cases (p = 0.034, p = 0.003, respectively). Increased PCP and TP were found in the AAP patients (p = 0.014, p = 0.015, respectively). Discussion: UE blepharoplasty and ELR surgeries both lead to some significant changes on corneal structure post-operatively. Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.