Digital Evaluation of the Changes in Eyelid and Ocular Surface Measurements and the Correlation of These Parameters with Visual Field Parameters After Upper Eyelid Blepharoplasty

Gulsah Gumus; Gamze Ozturk Karabulut; Korhan Fazil; Zehra Karaagac Gunaydin; Kubra Serefoglu Cabuk; Damla Akman

doi:10.14744/bej.2023.24392

Digital Evaluation of the Changes in Eyelid and Ocular Surface Measurements and the Correlation of These Parameters with Visual Field Parameters After Upper Eyelid Blepharoplasty

Beyoglu Eye J. 2023 May 1;8(2):115-122. doi: 10.14744/bej.2023.24392. eCollection 2023.

Authors

Gulsah Gumus¹, Gamze Ozturk Karabulut², Korhan Fazil², Zehra Karaagac Gunaydin³, Kubra Serefoglu Cabuk², Damla Akman⁴

Affiliations

¹ Department of Ophthalmology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Türkiye.
² Department of Ophthalmology, University of Health Sciences Beyoglu Eye Training and Research Hospital, Beyoglu, Istanbul, Türkiye.
³ Department of Ophthalmology, Dunyagoz Etiler Hospital, Istanbul, Türkiye.
⁴ Department of Public Health, Celal Bayar University, Manisa, Türkiye.

Abstract

Objectives: We aimed to evaluate the change in eyelid and ocular surface parameters that were measured using a digital measurement program, the change in the visual field (VF), and the correlation between ocular surface area (OSA) and VF parameters in patients who underwent upper eyelid blepharoplasty for involutional dermatochalasis.

Methods: Patients who underwent upper eyelid blepharoplasty for involutional dermatochalasis between August 2015 and August 2019 were included in the study. The difference between preoperative and postoperative 3rd month values of manually measured margin reflex distance 1 (MRD1), digitally measured eyelid and ocular surface parameters (MRD1, MRD 2 [MRD2], upper eyelid crease height [ECH], pretarsal show height [PTH], eyebrow line-height [EBH] and OSA), and VF parameters were evaluated. The correlation between preoperative and postoperative values of manually and digitally measured MRD1 and also preoperative and postoperative values of OSA and VF parameters were analyzed.

Results: Thirty-six eyes from 36 patients were included in this study and the mean age of patients was 57.93±7.64 years. There were statistically significant changes between preoperative and postoperative values in means of the manually measured MRD1 and the digitally measured MRD1, PTH, OSA, and ECH (p<0.001). However, the postoperative changes in the mean MRD2 and EBH were not statistically significant (p=0.664 and p=0.983). There were moderate positive correlations between pre- and post-operative OSA values and pre- and postoperative values of manual and digital MRD1. A statistically significant agreement was observed between the change in OSA and the change in all VF parameters (Bland-Altman analysis test).

Conclusion: Digital measurements can be used to evaluate the changes in eyelid and ocular surface parameters in patients who underwent upper eyelid blepharoplasty surgery. OSA provides fast results in accordance with linear measurements and is compatible with the change in the VF.

Keywords: Blepharoplasty; digital measurement; ocular surface area; visual field.