July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Evaluation of ocular surface condition and subjective happiness in blepharoplastic surgery
Author Affiliations & Notes
  • Manami Kuze
    Ophthalmology, Matsusaka Central General Hospital, Matsusaka, Mie, Japan
    Ophthalmology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
  • Masaki Koizumi
    Plastic surgery, Koizumi Plastic surgery clinic, Nagoya, Aichi, Japan
    Ophthalmology, Matsusaka Municipal ospital, Matsusaka, Mie, Japan
  • Yayoi Tanaka
    Ophthalmology, Matsusaka Municipal ospital, Matsusaka, Mie, Japan
  • Kazuno Negishi
    Ophthalmology, Keio University School of Medicine, Shinjyuku, Tokyo, Japan
  • Masahiko Ayaki
    Ophthalmology, Keio University School of Medicine, Shinjyuku, Tokyo, Japan
    Ophthalmology, Ootake Eye Hospital Moon View Clinic , Yamato, Kanagawa, Japan
  • Footnotes
    Commercial Relationships   Manami Kuze, None; Masaki Koizumi, None; Yayoi Tanaka, None; Kazuno Negishi, None; Masahiko Ayaki, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 91. doi:
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    • Get Citation

      Manami Kuze, Masaki Koizumi, Yayoi Tanaka, Kazuno Negishi, Masahiko Ayaki; Evaluation of ocular surface condition and subjective happiness in blepharoplastic surgery. Invest. Ophthalmol. Vis. Sci. 2018;59(9):91.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Blepharoplastic surgery may contribute to cosmetic, objective symptoms such as ocular surface conditions, and subjective symptoms. The purpose of this study was to evaluate the effects of levator muscle tucking (LMT) surgery on dry eye symptoms, ocular surface scores, and subjective happiness state in patients with blepharoptosis.

Methods : Thirty-six patients were enrolled in the study. Seventy-two underwent upper eyelid skin excision with LMT. Patients completed the Subjective Happiness Questionnaire (SHQ) and underwent ocular surface evaluation consisting of Schirmer's test and tear break-up time (BUT) during the preoperative consultation and 3 months postoperatively.

Results : Improvements in ocular surface evaluation tests were observed in all patients 3 months postoperatively. There were significant differences in the pre- and postoperative scores for Schirmer’s test (3.9 ± 2.8 vs. 4.6 ± 2.9 mm, respectively; P<0.05, unpaired t-test) and BUT (3.8 ± 1.5 vs. 4.4 ± 1.3 s, respectively; P<0.01, unpaired t-test). Although there was no significant change in the SHQ score before and after surgery for the entire cohort (4.6 ± 0.7 vs. 4.6 ± 0.6, respectively; P=0.19), the SHQ score did improve in patients without ocular comorbidities except blepharoptosis after surgery (4.46 ± 0.66 vs 4.60 ± 0.65; P<0.03).

Conclusions : LMT improved objective symptoms of dry eye. Subjective happiness was not improved by LMT alone. This outcome was not dependent on blepharoptosis, but on whether patients had ocular comorbidities.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

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