Changes of Ocular Surface Before and After Treatment of Blepharoptosis With Combined Fascial Sheath Suspension and Frontal Muscle Flap Suspension. Issue 8 (November 2021)

• Record Type: Journal Article
• Authors: Li, Yan; Wang, Huixing; Bai, Ping
• Is Part Of: Journal of craniofacial surgery. Volume 32:Issue 8(2021)
• Publication Date: 2021-11
• Subjects: Fascial sheath suspension -- ocular surface -- severe congenital blepharoptosis -- tear film rupture time -- tear river height; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000007693
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Objective: To explore the ocular surface changes after ptosis surgery in patients with severe congenital blepharoptosis. Methods: The patients were divided into group A and group B, Group A received conjoint fascial sheath suspension, and group B received frontal muscle flap suspension. The ocular surface changes were followed upon the 7th day and in the 1st and 3rd month after operation, which included Schirmer test (ST), break-up time (BUT), tear meniscus height (TMH). For normal distribution variables, t test was used before and after operation, and the Wilcoxon test was used for variables with abnormal distribution. Results: Compared to preoperative status, the ST and TMH were not significantly changed after surgery ( P > 0.05), but BUT higher on the 7th day and in the 1st and 3rd month after operation ( P < 0.05). The fluorescence staining (FL) score was higher in the 3rd month than that in the 1st month ( P < 0.05), but was not significantly different between the 7th and in the 1st month after operation ( P > 0.05). The ST, TMH, and BUT after surgery were not significantly different between groups of A and B ( P > 0.05), but the FL score lower in the 3rd month than on the 7th day and in the 1st month after operation ( P < 0.05). Conclusions: The ST, BUT, and TMH were not significantly changed after surgery between groups of A and B, but the FL score was lower in group A than that in group B in early postoperative time. Abstract : Supplemental Digital Content is available in the text