PURPOSE: To evaluate the presence of dysfunctional tear syndrome and changes in corneal sensitivity in the preoperative andpostoperative patients undergoing upper blepharoplasty. METHODS: Thirty patients with surgical indication for correction of upper eyelid dermatochalasis in both eyes. Obtained clinical history and general ophthalmologic examination, including tests such as Schirmer's test, Lissamine Green staining, tear break-up time and fluorescein staining, corneal sensitivity was evaluated using the Cochet-Bonnet esthesiometer, and subjective test by questionnaire ODSI. The examinations were performed before and after 90 days of surgery. RESULTS: Only 23 patients completed the follow-up, with females predominant. The patients' ages ranged from 63 to 87 years. According to the questionnaire ODSI applied, we found that symptoms improved, but statistical analysis showed a nonsignificant result. Regarding the analysis of results obtained with the Cochet-Bonnet esthesiometer, 7 patients showed an improvement in corneal sensitivity, nine patients declined to answer and 7 maintained their values. The results of the tear BUT, and stained with Fluorescein and Lissamine green were considered statistically non-significant. The Schirmer's test showed a statistically significant improvement in tear production in the postoperative period. CONCLUSION: In this study we observed that patients undergoing upper blepharoplasty showed an improvement in the signs and symptoms related to SDL, despite having been diagnosed with a decrease in corneal sensitivity, not statistically significant.
Blepharoplasty; Dry eye syndromes; Eyelids
