Blepharoplasty significantly alters corneal biomechanics and improves tear film stability

Upper eyelid blepharoplasty can significantly alter corneal biomechanics, particularly reducing corneal hysteresis, and improving tear film stability, according to a study.

These changes, especially the reduction in corneal hysteresis, may be important for patients who require follow-up for conditions like glaucoma after the surgery.

The prospective study included 60 eyes from 30 patients, with evaluations conducted preoperatively and at 1- and 3-months post-surgery. Key metrics included corneal hysteresis, corneal resistance factor, intraocular pressure, tear breakup time, and Ocular Surface Disease Index scores.

Results showed a significant reduction in corneal hysteresis postoperatively, with values decreasing at both the 1-month (P = 0.011) and 3-month (p = 0.021) marks. Corneal resistance factor and intraocular pressure also decreased but without statistical significance. Tear breakup time improved significantly in the first month (P = 0.024), and fewer patients experienced dry eye symptoms.

Reference
İnal Özen M, Demirok G, Yalnız Akkaya Z, et al. Effect of upper eyelid blepharoplasty surgery on cornea biomechanics and ocular surface. Int Ophthalmol. 2024;44(1):386. doi: 10.1007/s10792-024-03313-4. PMID: 39306627.