Evidence map›Paper›PMID 39656319›Full record

Trial reportInternational ophthalmology2024

Effect of upper eyelid blepharoplasty with or without orbicularis oculi muscle removal on anterior segment parameters, keratometry, and ocular biometry.

Levent Doğan, Ömer Özer, Emin Serbülent Güçlü

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Levent DoğanDepartment of Ophthalmology, Niğde Ömer Halisdemir University, 51240, Niğde, Turkey. drleventdogan@gmail.com.ORCID http://orcid.org/0000-0002-4849-3698
Ömer ÖzerDepartment of Ophthalmology, Niğde Ömer Halisdemir University, 51240, Niğde, Turkey.
Emin Serbülent GüçlüClinic of Ophthalmology, Mersin State Hospital, Mersin, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effect of upper eyelid blepharoplasty with or without the removal of a strip of orbicularis oculi muscle on corneal topographic parameters, anterior segment parameters, intraocular pressure, and ocular biometry.

methodThis prospective study examined 428 eyes of 214 patients with dermatochalasis. Patients were divided into two groups randomly: those who underwent orbicularis oculi muscle excision (Group 1) during blepharoplasty and those who did not (Group 2). Following a detailed ophthalmological examination, corneal topography was used to evaluate the eyes anterior chamber depth (ACD), iridocorneal angle (ICA), keratometry measurements, and corneal astigmatism (CA) in the preoperative and postoperative first and third months. Ocular biometry was used to assess axial length (AXL) and intraocular lens (IOL) power. Goldmann applanation tonometry was used to measure intraocular pressure (IOP).

resultsThe age and gender distribution between the groups were similar (p = 0.595 and p = 0.493, respectively). In Group 1, the mean steep keratometry (K2) value increased by 1.1 D and the mean CA increased by 0.81 D in the first month (p < 0.001 for both comparisons). The increases in K2 and CA were 0.7 D and 0.63 D, respectively, in Group 2 (p < 0.001 and p = 0.004, respectively). At the postoperative third month, both groups demonstrated statistically significant persistent elevations in K2 and CA values (p < 0.05 for all comparisons) compared to preoperative measurements. Group 1 exhibited statistically significant decreases in both IOL power calculations (0.43 D according to the Barrett formula and 0.40 D according to the SRK/T formula, p < 0.001, for both) and ICA (38.1 ± 4.7° vs. 35.8 ± 4.1°, p = 0.009) measurements at the only one-month postoperative follow-up. IOP, AXL, and ACD measurements did not exhibit any significant changes in both groups at the first and third postoperative months.

conclusionIn addition to changes in keratometry and CA, blepharoplasty with muscle excision significantly decreased IOL power and ICA. It may be beneficial to inquire about recent blepharoplasty history and the surgical technique employed in patients scheduled for cataract or refractive surgery.

Indexed as

BiometryBlepharoplastyEyelidsIntraocular PressureAdultAgedAnterior Eye SegmentAxial Length, EyeCorneaCorneal TopographyFemaleHumansMaleMiddle AgedOculomotor MusclesProspective StudiesDermatochalasisIntraocular lens powerIridocorneal angleKeratometryUpper eyelid blepharoplasty

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.