Preventing and managing dry eyes after periorbital surgery: a retrospective review

Plastic and Reconstructive Surgery
Adam H HamawyRod J Rohrich

Abstract

Dry eye syndrome is a common sequela associated with periorbital surgery. As more patients seek periorbital rejuvenation, understanding the pathophysiology, diagnosis, and treatment of this condition perioperatively is essential for managing patient expectations and maximizing outcomes. A retrospective review of charts for 202 consecutive patients (180 women and 22 men) who underwent upper and/or lower blepharoplasty was performed. Additional facial cosmetic procedures were performed in 91 percent of patients. Data were collected identifying associated risk factors and the incidence of persistent dry eye symptoms. Key elements of perioperative care are described and algorithms for detection of those at risk, prevention, and management are outlined. Dry eyes persisting longer than 2 weeks after surgery were noted in 22 patients (10.9 percent) and longer than 2 months in only four patients (2 percent). In most cases, dry eyes resolved with conservative management, including artificial tears, lubrication, topical and systemic steroids, and night taping. One patient (0.5 percent of all studied patients) eventually needed surgical correction of lower eyelid retraction after failure of the punctate plug. Persistent chemosis occurred ...Continue Reading

References

Dec 1, 1974·Plastic and Reconstructive Surgery·R M SwartzJ R Seaton
Aug 1, 1981·Plastic and Reconstructive Surgery·T D Rees, G W Jelks
Mar 1, 1995·American Journal of Ophthalmology·H FujishimaK Tsubota
Mar 1, 1994·Ophthalmic Plastic and Reconstructive Surgery·Y R Enzer, N Shorr
Aug 5, 1999·Ophthalmic Plastic and Reconstructive Surgery·K M AbellJ D Porter
Feb 2, 2000·Plastic and Reconstructive Surgery·P McKinney, M Byun
Sep 12, 2000·Archives of Ophthalmology·S E MossB E Klein
Sep 30, 2000·Advances in Therapy·J D NelsonJ D Hirsch
Nov 22, 2001·JAMA : the Journal of the American Medical Association·D A SchaumbergM R Dana
Jun 28, 2002·Plastic and Reconstructive Surgery·Steven Fagien
Aug 13, 2002·Plastic and Reconstructive Surgery·H Steve Byrd, James D Burt
Mar 17, 2004·Archives of Facial Plastic Surgery·Daryoush Saadat, Steven C Dresner
Jul 16, 2004·Plastic and Reconstructive Surgery·Fritz E BartonMariam Awada
Aug 20, 2004·Plastic and Reconstructive Surgery·Claudio Cardoso de Castro
Nov 13, 2004·Plastic and Reconstructive Surgery·Rod J RohrichJames M Stuzin
May 18, 2005·Archives of Facial Plastic Surgery·Manoj M ThakkerBryan S Sires
Mar 28, 2006·American Journal of Ophthalmology·Steven C SchallhornDavid J Tanzer
Jun 13, 2006·American Journal of Ophthalmology·Dilek Dursun AltinorsKazuo Tsubota
Oct 31, 2006·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Gürkan UncuOsman Develioğlu
Dec 22, 2006·Orbit·Serge Morax, Valerie Touitou
May 24, 2007·Plastic and Reconstructive Surgery·Bobby S KornDavid J Schanzlin
Jul 16, 2008·Plastic and Reconstructive Surgery·Adam B WeinfeldMark A Codner

❮ Previous
Next ❯

Citations

Dec 3, 2010·Plastic and Reconstructive Surgery·Jack A FriedlandRod J Rohrich
Feb 15, 2012·The Ocular Surface·Perry Rosenthal, David Borsook
Jul 28, 2010·Facial Plastic Surgery Clinics of North America·Sachin Parikh, Sam P Most
Jul 28, 2010·Facial Plastic Surgery Clinics of North America·William P Mack
Dec 5, 2014·Orbit·Abbas BagheriShahin Yazdani
Apr 24, 2016·Facial Plastic Surgery Clinics of North America·Michael G Neimkin, John B Holds
Apr 24, 2016·Facial Plastic Surgery Clinics of North America·Kaveh Karimnejad, Scott Walen
Jun 8, 2013·Aesthetic Surgery Journal·Clinton D McCordJoseph D Walrath
Jul 21, 2017·Indian Journal of Ophthalmology·Kasturi BhattacharjeeNilutparna Deori
Feb 24, 2018·Aesthetic Surgery Journal·Mohammed Alghoul
Dec 29, 2015·Plastic and Reconstructive Surgery·Christopher I Zoumalan, Jason Roostaeian
Dec 4, 2019·Plastic and Reconstructive Surgery·Aaron C Van SlykeNicholas J Carr
Nov 22, 2014·Plastic and Reconstructive Surgery·Kunaal JindalMark A Codner
Sep 10, 2014·Ophthalmic Plastic and Reconstructive Surgery·Roger A DaileyEric S Ahn
Oct 13, 2018·Korean Journal of Ophthalmology : KJO·Sang Min LeeHelen Lew
Feb 6, 2013·Ophthalmic Plastic and Reconstructive Surgery·Yasuhiro TakahashiHirohiko Kakizaki
Jan 28, 2020·Plastic and Reconstructive Surgery·Aaron C Van SlykeNicholas J Carr
Feb 25, 2021·Facial Plastic Surgery : FPS·Mohsan MalikAlwyn Ray D'Souza
Aug 18, 2020·Plastic and Reconstructive Surgery. Global Open·Felix H W MakDaniel G Ezra

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
J E Fulton
Plastic and Reconstructive Surgery
Rod J RohrichJames M Stuzin
Aesthetic Surgery Journal
James H CarrawayMichael Patipa
© 2021 Meta ULC. All rights reserved