Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.

Epiphora and dermatochalasis are common presentations in the ophthalmology clinic. To evaluate the change of epiphora before and after functional blepharoplasty, this retrospective cohort study reviewed 39 medical records of epiphora patients who underwent upper blepharoplasty. Severity of epiphora...

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Autores principales:	Vannakorn Pruksakorn, Sunee Chansangpetch
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b890a1dece3d41e5bc032454d2b05c45
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spelling	oai:doaj.org-article:b890a1dece3d41e5bc032454d2b05c452021-12-02T20:18:16ZEpiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.1932-620310.1371/journal.pone.0255988https://doaj.org/article/b890a1dece3d41e5bc032454d2b05c452021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255988https://doaj.org/toc/1932-6203Epiphora and dermatochalasis are common presentations in the ophthalmology clinic. To evaluate the change of epiphora before and after functional blepharoplasty, this retrospective cohort study reviewed 39 medical records of epiphora patients who underwent upper blepharoplasty. Severity of epiphora using MUNK score was collected and compared between before and at 6 months after blepharoplasty. The analysis model was performed to measure tear breakup time (TBUT) and frequency of artificial tears use. Subgroups of subjects before blepharoplasty to short baseline TBUT (≤ 10 seconds) and long TBUT (≥ 10 seconds) were also evaluated for the MUNK score change. From the analysis of 39 patients, the results showed a statistically significant decrease in post blepharoplasty MUNK score compared to the baseline (all P < 0.001). There was no significant difference between baseline and post-operative TBUT (P > 0.05). Twenty patients were in the short TBUT group and 19 in the long TBUT group. The reduction of MUNK score after blepharoplasty in the short TBUT group was not different to the long TBUT group (P = 0.50, 95% CI -0.84 to 0.41). However, in short TBUT group, frequency of artificial tears use after surgery was less than pre-operation. From the study, upper eyelid blepharoplasty might be one technique reducing the bothersome epiphora in dermatochalasis patients.Vannakorn PruksakornSunee ChansangpetchPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255988 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Vannakorn Pruksakorn Sunee Chansangpetch Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.
description	Epiphora and dermatochalasis are common presentations in the ophthalmology clinic. To evaluate the change of epiphora before and after functional blepharoplasty, this retrospective cohort study reviewed 39 medical records of epiphora patients who underwent upper blepharoplasty. Severity of epiphora using MUNK score was collected and compared between before and at 6 months after blepharoplasty. The analysis model was performed to measure tear breakup time (TBUT) and frequency of artificial tears use. Subgroups of subjects before blepharoplasty to short baseline TBUT (≤ 10 seconds) and long TBUT (≥ 10 seconds) were also evaluated for the MUNK score change. From the analysis of 39 patients, the results showed a statistically significant decrease in post blepharoplasty MUNK score compared to the baseline (all P < 0.001). There was no significant difference between baseline and post-operative TBUT (P > 0.05). Twenty patients were in the short TBUT group and 19 in the long TBUT group. The reduction of MUNK score after blepharoplasty in the short TBUT group was not different to the long TBUT group (P = 0.50, 95% CI -0.84 to 0.41). However, in short TBUT group, frequency of artificial tears use after surgery was less than pre-operation. From the study, upper eyelid blepharoplasty might be one technique reducing the bothersome epiphora in dermatochalasis patients.
format	article
author	Vannakorn Pruksakorn Sunee Chansangpetch
author_facet	Vannakorn Pruksakorn Sunee Chansangpetch
author_sort	Vannakorn Pruksakorn
title	Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.
title_short	Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.
title_full	Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.
title_fullStr	Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.
title_full_unstemmed	Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.
title_sort	epiphora before and after upper eyelid functional blepharoplasty: a retrospective cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/b890a1dece3d41e5bc032454d2b05c45
work_keys_str_mv	AT vannakornpruksakorn epiphorabeforeandafteruppereyelidfunctionalblepharoplastyaretrospectivecohortstudy AT suneechansangpetch epiphorabeforeandafteruppereyelidfunctionalblepharoplastyaretrospectivecohortstudy
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Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study.

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