Purpose: To investigate the impact of lacrimal gland reposition procedureperformed during upper lid blepharoplasty on objective ocular surface parameters and dry eye symptoms.
Methods:Medical records of the 16 patients who underwent bilateral lacrimal gland reposition procedure during upper lid blepharoplasty (Group 1) and 20 patients who underwent standard upper lid blepharoplasty (Group 2) between 2021 October and 2023 March at Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospitalwere evaluated. The preoperative and postoperative objective ocular surface parameters (TBUT, TMH, Schirmer’s test) and OSDI questionnaire were performed.
Results:The postoperative TMH was significantly lower and OSDI scores were significantly higher in lacrimal gland reposition group when compared with the standard blepharoplasty group (p: 0.03, p: 0.04, respectively). In lacrimal gland surgery group, the postoperative mean OSDI score was significantly higher (p: 0.03) and mean TMH was significantly lower (p: 0.03) when compared with preoperative values. The postoperative TBUT and Schirmer’s test values were not significantly different when compared with preoperative values in both groups (p: 0.23 and p: 0.29 for standard blepharoplasty group and; p: 0.09 and p: 0.13 for lacrimal gland surgery group).
Conclusions:Reposition of the lacrimal gland can result with ocular surface disease. In those cases, the physicians should be aware of this potential complication before surgery planning and take appropriate measures to minimize the risks.
Key words: Lacrimal gland prolapse, reposition surgery, ocular surface disease, OSDI, upper lid blepharoplasty.
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