Cilt Yoluyla Levator Rezeksiyonu Yapılan Hastalarda Kuru Göz Parametrelerinin ve Meibomian Bez Morfolojisinin Değerlendirilmesi

Objective: To evaluate dry eye parameters and meibomian gland morphology in patients who underwent transcutaneus levator resection. Material and Methods: Twenty one eyes of 11 patients who underwent transcutaneus levator resection between January 2015-March 2015 at Haydarpasa Numune Training and Research Hospital Ophthalmology Clinic were included in this prospective study. Patients younger than 18 years old, except for aponeurotic ptosis, past eyelid surgery or trauma cases were not included. In addition to routine ophthalmologic examination, Schirmer 1 test, tear break up time (TBUT) and meibography (Sirius CSO corneal topography) was performed preoperatively and postoperative 1th month. Results: Seven of the 11 patients were male (64%). Mean age was 56.10±8,03. Preoperative mean Schirmer 1 test was 18,76 ± 4,69 mm and postoperative 1th month was 15,90±4,07 mm. Preoperative mean TBUT was 5,57±1,89 sec and postoperative 1th month was 7.05±2.20 sec. The preoperative mean area loss in the upper eyelid meibography was 33.75±8.43%, whereas in the postoperative 1th month 34±9.67%. The preoperative mean area loss in the lower eyelid meibography was 22,05±5,05%, whereas in the postoperative 1th month 21,94±6,57%. Conclusion: Schirmer 1 test results were significantly lower at postoperative 1th month after transcutaneus levator resection. TBUT was <10 sec in both preoperative and postoperative 1th month. No significant changes was observed in the upper and lower eyelid meibomian gland area loss. Our study indicate that transcutaneus levator resection may cause dry eye without affecting meibomian gland morphology in the early postoperative period.