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Mian OT, Lippe CM, Khan A, Bugg VA, Bryant JC, Riaz KM, Dvorak JD, Ding K, Moreau A. Dry eye in the upper blepharoplasty patient: a study comparing orbicularis-sparing versus orbicularis-excising techniques. Graefes Arch Clin Exp Ophthalmol 2023; 261:3625-3634. [PMID: 37354267 DOI: 10.1007/s00417-023-06131-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 05/04/2023] [Accepted: 05/26/2023] [Indexed: 06/26/2023] Open
Abstract
PURPOSE To compare subjective and objective dry eye syndrome (DES) metrics preoperatively and postoperatively in patients undergoing bilateral upper eyelid blepharoplasty (ULB) using orbicularis-sparing versus orbicularis-excising techniques. METHODS A double-blind, randomized clinical trial was conducted on patients without prior DES or other severe conditions who presented to our institution between 2017 and 2019 for routine functional ULB. Patients were randomized into two treatment arms: bilateral ULB using the orbicularis-sparing technique or bilateral ULB using the orbicularis-excising technique. One subjective and seven objective DES assessments were performed on all patients preoperatively and 1 month and 1 year after surgery. RESULTS A total of 63 patients were recruited for the study. Standard Patient Evaluation of Eye Dryness (SPEED) scores decreased in both treatment groups at 1 month and 1 year postoperatively. This change did not significantly vary based on surgical technique. Objective DES assessments were not significantly changed at both postoperative time points for either group. There was a correlation between the severity of preoperative DES symptoms and the subjective improvement of DES symptoms postoperatively in both groups. CONCLUSIONS ULB with an orbicularis-sparing or orbicularis-excising technique does not worsen subjective or objective DES metrics and so, surgeons may confidently use either surgical technique. These findings may impact postoperative expectations for surgeons and patients alike.
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Affiliation(s)
- Osamah T Mian
- Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Oklahoma City, OK, 73104, USA
- College of Medicine, University of Oklahoma, Norman, OK, USA
| | - Christina M Lippe
- Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Oklahoma City, OK, 73104, USA
- Eye Consultants of Pennsylvania, Wyomissing, PA, USA
- Department of Ophthalmology, Drexel University, Philadelphia, PA, USA
| | - Asher Khan
- Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Oklahoma City, OK, 73104, USA
- College of Medicine, University of Oklahoma, Norman, OK, USA
| | - Victoria A Bugg
- Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Oklahoma City, OK, 73104, USA.
| | - Juliana C Bryant
- Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Oklahoma City, OK, 73104, USA
| | - Kamran M Riaz
- Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Oklahoma City, OK, 73104, USA
| | - Justin D Dvorak
- Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Kai Ding
- Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Annie Moreau
- Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Oklahoma City, OK, 73104, USA
- College of Medicine, University of Oklahoma, Norman, OK, USA
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Affiliation(s)
- Mary G Tierney
- 1Department of Family and Sports Medicine, WellSpan Health Group, WellSpan Family and Sports Medicine-Cocalico, Reinholds, PA; 2Department of Ophthalmology, Penn State Hershey Medical Center, Hershey, PA; 3Penn State College of Medicine, Penn State Hershey Medical Center, Hershey, PA; 4Divisions of Primary Care and Orthopedics, Mayo Clinic Health System, Waycross, GA; and 5Mayo Clinic, Jacksonville, FL
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Lippe CM, Reineck EA, Kunselman AR, Gilchrist IC. Warfarin: Impact on hemostasis after radial catheterization. Catheter Cardiovasc Interv 2014; 85:82-8. [DOI: 10.1002/ccd.25410] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Accepted: 01/20/2014] [Indexed: 11/09/2022]
Affiliation(s)
| | - Elizabeth A. Reineck
- Division of Cardiology; Department of Medicine; Johns Hopkins University School of Medicine; Baltimore Maryland
| | - Allen R. Kunselman
- Penn State Public Health Sciences; Pennsylvania State University; Hershey Pennsylvania
| | - Ian C. Gilchrist
- Penn State's Heart and Vascular Institute, Pennsylvania State University; Hershey Pennsylvania
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