Background:This study was designed to examine if patients undergoing the same operative procedure(blepharochalasis operation)have different subjective recognition of dry eye problems depending n whether they had he op...Background:This study was designed to examine if patients undergoing the same operative procedure(blepharochalasis operation)have different subjective recognition of dry eye problems depending n whether they had he operation for cosmetic or medical reasons.Patients and Method:The study included 32 patients(25 women,7 men,mean age 57.8± 12.1 years),who underwent blepharochalasis operation between 1/2005 and 5/2005.In 17 patients(group 1)the operation was done for cosmetic reasons,in 15 patients we found a medical indication(group 2).We evaluated the subjective discomfort from the lid problems as well as the satisfaction with the operation in general and pre-or postoperative recognition of dry eye problems(all done by scales).Additionally we measured tear secretion by Schirmer’ s test and break-up time before and after operation.Results:The subjective recognition of a dry eye was stronger in group 1 than in group 2 before and after operation(p < 0.005),but objective data were nearly identically(BUT,Schirmer’ s test).Conclusion:When operated due to cosmetic reasons the stronger recognition of sicca problems(while objectively lacking)is may be caused by a stronger fixation on the lid disease itself.It seems necessary to document objective data for that reason.展开更多
文摘Background:This study was designed to examine if patients undergoing the same operative procedure(blepharochalasis operation)have different subjective recognition of dry eye problems depending n whether they had he operation for cosmetic or medical reasons.Patients and Method:The study included 32 patients(25 women,7 men,mean age 57.8± 12.1 years),who underwent blepharochalasis operation between 1/2005 and 5/2005.In 17 patients(group 1)the operation was done for cosmetic reasons,in 15 patients we found a medical indication(group 2).We evaluated the subjective discomfort from the lid problems as well as the satisfaction with the operation in general and pre-or postoperative recognition of dry eye problems(all done by scales).Additionally we measured tear secretion by Schirmer’ s test and break-up time before and after operation.Results:The subjective recognition of a dry eye was stronger in group 1 than in group 2 before and after operation(p < 0.005),but objective data were nearly identically(BUT,Schirmer’ s test).Conclusion:When operated due to cosmetic reasons the stronger recognition of sicca problems(while objectively lacking)is may be caused by a stronger fixation on the lid disease itself.It seems necessary to document objective data for that reason.
