The Impact of Levator Muscle Advancement With and Without Upper Blepharoplasty on Dry-Eye Symptoms in Unilateral Ptosis: A Comparative Study
This study investigates the effects of levator advancement, with and without upper blepharoplasty, on dry-eye symptoms in patients with unilateral ptosis. A total of 92 patients were included, divided into three groups based on surgical intervention: Group A (ptosis correction alone), Group B (ptosi...
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2025-02-01
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| author | Dolika D. Vasović Miodrag Lj. Karamarković Milan Stojičić Nikola Musić Milan Colić Tanja Kalezić Jelena Vasilijević Igor Kovačević Ivan Marjanović Miroslav Jeremić Verica Karamarković Dejan M. Rašić |
| author_facet | Dolika D. Vasović Miodrag Lj. Karamarković Milan Stojičić Nikola Musić Milan Colić Tanja Kalezić Jelena Vasilijević Igor Kovačević Ivan Marjanović Miroslav Jeremić Verica Karamarković Dejan M. Rašić |
| author_sort | Dolika D. Vasović |
| collection | DOAJ |
| description | This study investigates the effects of levator advancement, with and without upper blepharoplasty, on dry-eye symptoms in patients with unilateral ptosis. A total of 92 patients were included, divided into three groups based on surgical intervention: Group A (ptosis correction alone), Group B (ptosis correction with blepharoplasty), and Group C (blepharoplasty alone). Dry-eye parameters were assessed preoperatively and postoperatively at 1, 3, and 6 months using Tear Break-Up Time (TBUT), Schirmer test, corneal and conjunctival staining, and the Ocular Surface Disease Index (OSDI) questionnaire. Our findings indicate that patients in Groups A and B exhibited a temporary increase in dry-eye symptoms, with the most significant effects observed in Group B at the 1- and 3-month follow-ups. By 6 months, dry-eye parameters in all groups returned close to baseline levels, underscoring the reversible nature of these symptoms. This study highlights the importance of preoperative counseling regarding potential temporary dry-eye symptoms, particularly for patients undergoing combined ptosis and blepharoplasty procedures. The results support the safety of these surgical approaches, provided there is appropriate patient monitoring and management to ensure symptom resolution over time. |
| format | Article |
| id | doaj-art-1bd8bf953e684535baa87f8a234c7141 |
| institution | OA Journals |
| issn | 2075-1729 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj-art-1bd8bf953e684535baa87f8a234c71412025-08-20T01:48:57ZengMDPI AGLife2075-17292025-02-0115333210.3390/life15030332The Impact of Levator Muscle Advancement With and Without Upper Blepharoplasty on Dry-Eye Symptoms in Unilateral Ptosis: A Comparative StudyDolika D. Vasović0Miodrag Lj. Karamarković1Milan Stojičić2Nikola Musić3Milan Colić4Tanja Kalezić5Jelena Vasilijević6Igor Kovačević7Ivan Marjanović8Miroslav Jeremić9Verica Karamarković10Dejan M. Rašić11University Clinical Centre of Serbia, University Eye Hospital, Pasterova 2, 11000 Belgrade, SerbiaClinic for Burns, Plastic and Reconstructive Surgery, University Clinical Centre of Serbia, 11000 Belgrade, SerbiaClinic for Burns, Plastic and Reconstructive Surgery, University Clinical Centre of Serbia, 11000 Belgrade, SerbiaHospital for Plastic, Reconstructive and Aesthetic Surgery “Dr Colić”, 11000 Belgrade, SerbiaHospital for Plastic, Reconstructive and Aesthetic Surgery “Dr Colić”, 11000 Belgrade, SerbiaUniversity Clinical Centre of Serbia, University Eye Hospital, Pasterova 2, 11000 Belgrade, SerbiaUniversity Clinical Centre of Serbia, University Eye Hospital, Pasterova 2, 11000 Belgrade, SerbiaUniversity Clinical Centre of Serbia, University Eye Hospital, Pasterova 2, 11000 Belgrade, SerbiaUniversity Clinical Centre of Serbia, University Eye Hospital, Pasterova 2, 11000 Belgrade, SerbiaUniversity Clinical Centre of Serbia, University Eye Hospital, Pasterova 2, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaUniversity Clinical Centre of Serbia, University Eye Hospital, Pasterova 2, 11000 Belgrade, SerbiaThis study investigates the effects of levator advancement, with and without upper blepharoplasty, on dry-eye symptoms in patients with unilateral ptosis. A total of 92 patients were included, divided into three groups based on surgical intervention: Group A (ptosis correction alone), Group B (ptosis correction with blepharoplasty), and Group C (blepharoplasty alone). Dry-eye parameters were assessed preoperatively and postoperatively at 1, 3, and 6 months using Tear Break-Up Time (TBUT), Schirmer test, corneal and conjunctival staining, and the Ocular Surface Disease Index (OSDI) questionnaire. Our findings indicate that patients in Groups A and B exhibited a temporary increase in dry-eye symptoms, with the most significant effects observed in Group B at the 1- and 3-month follow-ups. By 6 months, dry-eye parameters in all groups returned close to baseline levels, underscoring the reversible nature of these symptoms. This study highlights the importance of preoperative counseling regarding potential temporary dry-eye symptoms, particularly for patients undergoing combined ptosis and blepharoplasty procedures. The results support the safety of these surgical approaches, provided there is appropriate patient monitoring and management to ensure symptom resolution over time.https://www.mdpi.com/2075-1729/15/3/332ptosis surgeryblepharoplastydry eyeocular surface healthlevator muscle advancement |
| spellingShingle | Dolika D. Vasović Miodrag Lj. Karamarković Milan Stojičić Nikola Musić Milan Colić Tanja Kalezić Jelena Vasilijević Igor Kovačević Ivan Marjanović Miroslav Jeremić Verica Karamarković Dejan M. Rašić The Impact of Levator Muscle Advancement With and Without Upper Blepharoplasty on Dry-Eye Symptoms in Unilateral Ptosis: A Comparative Study Life ptosis surgery blepharoplasty dry eye ocular surface health levator muscle advancement |
| title | The Impact of Levator Muscle Advancement With and Without Upper Blepharoplasty on Dry-Eye Symptoms in Unilateral Ptosis: A Comparative Study |
| title_full | The Impact of Levator Muscle Advancement With and Without Upper Blepharoplasty on Dry-Eye Symptoms in Unilateral Ptosis: A Comparative Study |
| title_fullStr | The Impact of Levator Muscle Advancement With and Without Upper Blepharoplasty on Dry-Eye Symptoms in Unilateral Ptosis: A Comparative Study |
| title_full_unstemmed | The Impact of Levator Muscle Advancement With and Without Upper Blepharoplasty on Dry-Eye Symptoms in Unilateral Ptosis: A Comparative Study |
| title_short | The Impact of Levator Muscle Advancement With and Without Upper Blepharoplasty on Dry-Eye Symptoms in Unilateral Ptosis: A Comparative Study |
| title_sort | impact of levator muscle advancement with and without upper blepharoplasty on dry eye symptoms in unilateral ptosis a comparative study |
| topic | ptosis surgery blepharoplasty dry eye ocular surface health levator muscle advancement |
| url | https://www.mdpi.com/2075-1729/15/3/332 |
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