Tear-Film Stability After Upper Blepharoplasty with Fractional CO2 Laser: A Retrospective 5-Month Series.

BACKGROUND

Blepharoplasty rectifies functional and aesthetic problems of the periorbital area.

OBJECTIVE

This study tests the effectiveness of a combined procedure of blepharoplasty and fractional ablative CO2, resurfacing on a total of 16 patients diagnosed with dermatochalasis and surgical indication for upper blepharoplasty.

METHODS

Patients underwent a combined procedure of blepharoplasty and fractional ablative CO2 resurfacing. The examinations performed were: measurement of the height of the lacrimal meniscus, tear break-up time (FBUT), Schirmer test and Ocular Surface Disease Index questionnaire.

RESULTS

All values returned to baseline 150 days (5 months) from surgery with improvement of the FBUT value. No significant change or worsening in values was observed after laser application and periorbital blepharoplasty.

CONCLUSIONS

The application of fractional CO2 laser and blepharoplasty could lead to both psychological and social improvement in patients, reducing the potential risks that can lead to dry eye syndrome.