Corneal topographic and aberrometric changes in patients with acquired blepharoptosis after levator resection surgery

Year 2025, Volume: 11 Issue: 1, 98 - 104, 04.01.2025

Ayna Sariyeva Ismayilov , Derya Doğanay , Muhammed Yelkovan

https://doi.org/10.18621/eurj.1596476

Abstract

Objective: To evaluate changes in corneal topography and aberrometry in patients with acquired blepharoptosis after levator resection surgery.

Methods: This prospective, interventional study evaluated 30 eyelids of 19 patients who underwent levator resection surgery for acquired blepharoptosis with fair and good levator function (LF). Patients underwent corneal topography before and 3 months after surgery.

Results: Eleven patients had bilateral, and 8 patients had unilateral surgery. There were significant decreases in steep keratometry (K2) (preoperative: 46.21±5.02, postoperative: 44.58±2.11, P=0.046) and corneal astigmatism (preoperative: 2.98±0.61, postoperative: 1.59±1.50, P=0.034). There were no statistically significant differences between the preoperative and postoperative values of flat keratometry (K1) (P=0.585), mean keratometry (Kmean) (P=0.122), axis of corneal astigmatism (P=0.548), central corneal thickness (P=0.350), anterior chamber depth (P=0.747) and anterior chamber volume (P=0.679). The root mean square (RMS)-higher order aberrations (HOA) (P<0.001), RMS-Coma (Z₃¹) (P<0.001), and RMS-Trefoil (Z₃³) (P=0.005) decreased significantly. Preoperative and postoperative values of the seconder astigmatism (P=0.345), RMS-spherical aberration (Z₄⁰) (P=0.255), and RMS-Quadrafoil (Z₄⁴) values were found similar.

Conclusions: Levator resection for acquired blepharoptosis can improve the topography and aberrometry measurements of the cornea 3 months after surgery.

Keywords

Blepharoptosis, levator resection surgery, corneal topography, corneal higher-order aberrations, RMS-HOA, dry eye

Ethical Statement

Written consent was obtained from the patients. Ethics committee approval (number: 2011-KAEK-25 2023/05-14) was obtained from the Bursa Yuksek Ihtisas Training and Research Hospital’s local ethics committee.

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