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SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS

Yıl 2020, Cilt: 83 Sayı: 3, 193 - 196, 29.06.2020

Öz

Objective: Surgical repositioning of the eyelids may change astigmatism. The change in astigmatism may affect the results of previous refractive procedures. Material and Method: Twenty-eight eyes of 18 patients were included in the study. Interpalpebral fissure height (IPF), margin reflex distance 1 and 2 (MRD 1-2), and levator function (LF) were recorded in all patients preoperatively and at the postoperative third month. Keratometric values were measured by Scheimpflug corneal topography. Surgically induced astigmatism values due to upper eyelid surgery were calculated using a vectorial analysis program. Results: The mean age of the patients was 45.46±18.8 years. Blepharoplasty was performed in 11 eyes with dermatochalasis. Levator resection was performed in nine of 11 eyes with ptosis, and frontalis suspension was performed in the remaining two eyes with ptosis. Blepharoplasty with levator resection was performed in six eyes where ptosis coexists with dermatochalasis. There was no significant difference between preoperative and postoperative keratometric and LF values. However, there was a significant increase in IPF and MRD 1 values. Mean surgically induced astigmatism was 0.54±0.22 D. Conclusion: Upper eyelid surgery can induce astigmatism. Therefore, it might be better to perform upper eyelid surgery before refractive procedures.

Kaynakça

  • 1. Merriam WW, Ellis FA, Helveston EM. Congenital blepharoptosis, anisometropia and amblyopia. Am J Ophthalmol 1980;89:401-7. [CrossRef]
  • 2. Gullstrand A. The cornea. In: Southall JPC, editor. Helmholtz’s treatise on physiological optics. New York, NY: Dover Publications Inc; 1962:320-1.
  • 3. Mavrikakis I, Detorakis ET, Baltatzis S, Yiotakis I, Kandiloros D. Corneal topography with upper eyelid platinum chain implantation using the pretarsal fixation technique. Med Hypothesis Discov Innov Ophthalmol 2015;4(1):9-13.
  • 4. Eğrilmez S, Dalkılıç G, Yagci A. Vector analysis software on analyzing astigmatism. Turk J Ophthalmol 2003;33:404-16.
  • 5. Eğrilmez S, Ates H, Nalcaci S, Andac K, Yagci A. Surgically induced corneal refractive change following glaucoma surgery: nonpenetrating trabecular surgeries versus trabeculectomy. J Cataract Refract Surg 2004;30(6):1232-9. [CrossRef]
  • 6. Fox SA. Surgery of Ptosis. Baltimore, MD: The Williams & Wilkins Company; 1980:75-80.
  • 7. Rosenfield LK. The pinch blepharoplasty revisited. Plast Reconstr Surg 2005;115(5):1405-12. [CrossRef]
  • 8. Lehmann RP, Houtman DM. Visual performance in cataract patients with low levels of postoperative astigmatism: full correction versus spherical equivalent correction. Clin Ophthalmol 2012;6:333-8. [CrossRef]
  • 9. Wilkins MR, Allan B, Rubin G. Spectacle use after routine cataract surgery Br J Ophthalmol 2009;9310):1307-12. [CrossRef]
  • 10. Hayashi K, Hayashi H, Nakao F, Hayashi F. Influence of astigmatism on multifocal and monofocal intraocular lenses. Am J Ophthalmol 2000;130(4):477-82. [CrossRef]
  • 11. Altin Ekin M, Karadeniz Ugurlu S.Prospective analysis of visual function changes in patients with dermatochalasis after upper eyelid blepharoplasty. Eur J Ophthalmol. 2019 Jun 17:1120672119857501. [CrossRef]
  • 12. Simsek IB, Yilmaz B, Yildiz S, Artunay O. Effect of upper eyelid blepharoplasty on vision and corneal tomographic changes measured by Pentacam. Orbit 2015;34(5):263-7. [CrossRef]
  • 13. Dogan E, Akbas Kocaoglu F, Yalniz-Akkaya Z, Elbeyli A, Burcu A, Ornek F. Scheimpflug imaging in dermatochalasis patients before and after upper eyelid blepharoplasty. Semin Ophthalmol 2015;30(3):193-6. [CrossRef]
  • 14. Savino G, Battendieri R, Riso M, Traina S, Poscia A, D’Amico G, Caporossi A. Corneal topographic changes after eyelid ptosis surgery. Cornea 2016;35(4):501-5. [CrossRef]
  • 15. Gingold MP, Ehlers WH, Rodgers IR, Hornblass A. Changes in refraction and keratometry after surgery for acquired ptosis. Ophthalmic Plast Reconstr Surg 1994;10:241-6. [CrossRef]
  • 16. Kim YK, In JH, Jang SY. Changes in corneal curvature after upper eyelid surgery measured by corneal topography. J Craniofac Surg 2016;27(3):e235-8. [CrossRef]
  • 17. Holck DE, Dutton JJ, Wehrly SR. Changes in astigmatism after ptosis surgery measured by corneal topography. Ophthalmic Plast Reconstr Surg 1998;14(3):151-8. [CrossRef]
  • 18. Kao SC, Tsai CC, Lee SM, Liu JH. Astigmatic change following congenital ptosis surgery. Zhonghua Yi Xue Za Zhi (Taipei) 1998;61(12):689-93.
  • 19. Klimek DL, Summers CG, Letson RD, Davitt BV. Change in refractive error after unilateral levator resection for congenital ptosis. JAAPOS 2001;5(5):297-300. [CrossRef]
  • 20. Zinkernagel MS, Ebneter A, Ammann-Rauch D. Effect of upper eyelid surgery on corneal topography. Arch Ophthalmol 2007;125(12):1610-2. [CrossRef]
  • 21. Brown MS, Siegel IM, Lisman RD. Prospective analysis of changes in corneal topography after upper eyelid surgery. Ophthal Plast Reconstr Surg 1999;15:378-83. [CrossRef]
  • 22. Kim YK, In JH, Jang SY. Changes in corneal curvature after upper eyelid surgery measured by corneal topography. J Craniofac Surg 2016;27(3):e235-8. [CrossRef]

YETİŞKİN HASTALARDAKİ ÜST KAPAK CERRAHİSİ SONRASI CERRAHİYE BAĞLI ASTİGMATİZMA

Yıl 2020, Cilt: 83 Sayı: 3, 193 - 196, 29.06.2020

Öz

Amaç: Göz kapaklarının cerrahi olarak yeniden konumlandırılması astigmatizmayı değiştirebilir. Astigmatizmadaki değişim önceki refraktif prosedürlerinin sonuçlarını etkileyebilir. Gereç ve Yöntem: Çalışmaya 18 hastanın 28 gözü dahil edildi. Preoperatif ve postoperatif üçüncü ayda interpalpebral fissür yüksekliği (IPF), marjin refleks mesafesi 1 ve 2 (MRD 1-2) ve levator fonksiyonu (LF) kaydedildi. Keratometrik değerler Scheimpflug kornea topografisi ile ölçüldü. Üst göz kapağı ameliyatı nedeniyle cerrahi olarak indüklenen astigmatizma değerleri vektöryel analiz programı kullanılarak hesaplandı. Bulgular: Hastaların yaş ortalaması 45,46±18,8 idi. Dermatoşalazisli 11 göze blefaroplasti yapıldı. Pitozu olan 11 gözün dokuzuna levator rezeksiyonu, ikisine frontal asma uygulandı. Pitoz ve dermatoşalazisli altı göze levator rezeksiyonu ile birlikte blefaroplasti yapıldı. Preoperatif ve postoperatif keratometri ve LF değerleri arasında anlamlı fark yoktu. Ancak, IPF ve MRD 1 değerlerinde anlamlı bir artış vardı. Cerrahi olarak indüklenen astigmatizma değeri ortalaması 0,54±0,22 D idi. Sonuç: Üst göz kapağı ameliyatı astigmatizmayı indükleyebilir. Bu nedenle, üst göz kapağı ameliyatının refraktif işlemlerden önce yapılması daha iyi olabilir.

Kaynakça

  • 1. Merriam WW, Ellis FA, Helveston EM. Congenital blepharoptosis, anisometropia and amblyopia. Am J Ophthalmol 1980;89:401-7. [CrossRef]
  • 2. Gullstrand A. The cornea. In: Southall JPC, editor. Helmholtz’s treatise on physiological optics. New York, NY: Dover Publications Inc; 1962:320-1.
  • 3. Mavrikakis I, Detorakis ET, Baltatzis S, Yiotakis I, Kandiloros D. Corneal topography with upper eyelid platinum chain implantation using the pretarsal fixation technique. Med Hypothesis Discov Innov Ophthalmol 2015;4(1):9-13.
  • 4. Eğrilmez S, Dalkılıç G, Yagci A. Vector analysis software on analyzing astigmatism. Turk J Ophthalmol 2003;33:404-16.
  • 5. Eğrilmez S, Ates H, Nalcaci S, Andac K, Yagci A. Surgically induced corneal refractive change following glaucoma surgery: nonpenetrating trabecular surgeries versus trabeculectomy. J Cataract Refract Surg 2004;30(6):1232-9. [CrossRef]
  • 6. Fox SA. Surgery of Ptosis. Baltimore, MD: The Williams & Wilkins Company; 1980:75-80.
  • 7. Rosenfield LK. The pinch blepharoplasty revisited. Plast Reconstr Surg 2005;115(5):1405-12. [CrossRef]
  • 8. Lehmann RP, Houtman DM. Visual performance in cataract patients with low levels of postoperative astigmatism: full correction versus spherical equivalent correction. Clin Ophthalmol 2012;6:333-8. [CrossRef]
  • 9. Wilkins MR, Allan B, Rubin G. Spectacle use after routine cataract surgery Br J Ophthalmol 2009;9310):1307-12. [CrossRef]
  • 10. Hayashi K, Hayashi H, Nakao F, Hayashi F. Influence of astigmatism on multifocal and monofocal intraocular lenses. Am J Ophthalmol 2000;130(4):477-82. [CrossRef]
  • 11. Altin Ekin M, Karadeniz Ugurlu S.Prospective analysis of visual function changes in patients with dermatochalasis after upper eyelid blepharoplasty. Eur J Ophthalmol. 2019 Jun 17:1120672119857501. [CrossRef]
  • 12. Simsek IB, Yilmaz B, Yildiz S, Artunay O. Effect of upper eyelid blepharoplasty on vision and corneal tomographic changes measured by Pentacam. Orbit 2015;34(5):263-7. [CrossRef]
  • 13. Dogan E, Akbas Kocaoglu F, Yalniz-Akkaya Z, Elbeyli A, Burcu A, Ornek F. Scheimpflug imaging in dermatochalasis patients before and after upper eyelid blepharoplasty. Semin Ophthalmol 2015;30(3):193-6. [CrossRef]
  • 14. Savino G, Battendieri R, Riso M, Traina S, Poscia A, D’Amico G, Caporossi A. Corneal topographic changes after eyelid ptosis surgery. Cornea 2016;35(4):501-5. [CrossRef]
  • 15. Gingold MP, Ehlers WH, Rodgers IR, Hornblass A. Changes in refraction and keratometry after surgery for acquired ptosis. Ophthalmic Plast Reconstr Surg 1994;10:241-6. [CrossRef]
  • 16. Kim YK, In JH, Jang SY. Changes in corneal curvature after upper eyelid surgery measured by corneal topography. J Craniofac Surg 2016;27(3):e235-8. [CrossRef]
  • 17. Holck DE, Dutton JJ, Wehrly SR. Changes in astigmatism after ptosis surgery measured by corneal topography. Ophthalmic Plast Reconstr Surg 1998;14(3):151-8. [CrossRef]
  • 18. Kao SC, Tsai CC, Lee SM, Liu JH. Astigmatic change following congenital ptosis surgery. Zhonghua Yi Xue Za Zhi (Taipei) 1998;61(12):689-93.
  • 19. Klimek DL, Summers CG, Letson RD, Davitt BV. Change in refractive error after unilateral levator resection for congenital ptosis. JAAPOS 2001;5(5):297-300. [CrossRef]
  • 20. Zinkernagel MS, Ebneter A, Ammann-Rauch D. Effect of upper eyelid surgery on corneal topography. Arch Ophthalmol 2007;125(12):1610-2. [CrossRef]
  • 21. Brown MS, Siegel IM, Lisman RD. Prospective analysis of changes in corneal topography after upper eyelid surgery. Ophthal Plast Reconstr Surg 1999;15:378-83. [CrossRef]
  • 22. Kim YK, In JH, Jang SY. Changes in corneal curvature after upper eyelid surgery measured by corneal topography. J Craniofac Surg 2016;27(3):e235-8. [CrossRef]
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ARAŞTIRMA
Yazarlar

Emre Altınkurt Bu kişi benim 0000-0001-7967-825X

Nihan Aksu Ceylan Bu kişi benim 0000-0003-3724-7659

Yayımlanma Tarihi 29 Haziran 2020
Gönderilme Tarihi 16 Aralık 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 83 Sayı: 3

Kaynak Göster

APA Altınkurt, E., & Aksu Ceylan, N. (2020). SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS. Journal of Istanbul Faculty of Medicine, 83(3), 193-196.
AMA Altınkurt E, Aksu Ceylan N. SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS. İst Tıp Fak Derg. Haziran 2020;83(3):193-196.
Chicago Altınkurt, Emre, ve Nihan Aksu Ceylan. “SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS”. Journal of Istanbul Faculty of Medicine 83, sy. 3 (Haziran 2020): 193-96.
EndNote Altınkurt E, Aksu Ceylan N (01 Haziran 2020) SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS. Journal of Istanbul Faculty of Medicine 83 3 193–196.
IEEE E. Altınkurt ve N. Aksu Ceylan, “SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS”, İst Tıp Fak Derg, c. 83, sy. 3, ss. 193–196, 2020.
ISNAD Altınkurt, Emre - Aksu Ceylan, Nihan. “SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS”. Journal of Istanbul Faculty of Medicine 83/3 (Haziran 2020), 193-196.
JAMA Altınkurt E, Aksu Ceylan N. SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS. İst Tıp Fak Derg. 2020;83:193–196.
MLA Altınkurt, Emre ve Nihan Aksu Ceylan. “SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS”. Journal of Istanbul Faculty of Medicine, c. 83, sy. 3, 2020, ss. 193-6.
Vancouver Altınkurt E, Aksu Ceylan N. SURGICALLY INDUCED ASTIGMATISM AFTER UPPER EYELID SURGERY IN ADULT PATIENTS. İst Tıp Fak Derg. 2020;83(3):193-6.

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