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Punctal Occlusion and Blepharoplasty in Patients With Dry Eye Syndrome
Bruce B. Becker, MD
Arch Otolaryngol Head Neck Surg. 1991;117(7):789-791.
Abstract
• Blepharoplasty and inferior punctal occlusion were performed on 24 consecutive patients with dry eye syndrome. Fifteen patients (62.5%) had symptomatic dry eye syndrome preoperatively and nine patients (37.5%) had asymptomatic dry eye syndrome diagnosed during the preoperative workup (subclinical dry eye syndrome). After surgery, nine patients (37.5%) had improvement of their dry eye syndrome, 10 patients (42%) were unchanged, and two patients (8%) had worsening of their dry eye syndrome. A third patient had worsening of the dry eye syndrome 6 months postoperatively when her puncta reopened. Two patients (8%) had increased irritation only when wearing contact lenses, but in one patient this resolved 6 months after surgery. Thus, although a significant number are improved, a few patients will have worsening of dry eye syndrome after blepharoplasty and inferior punctal occlusion.
(Arch Otolaryngol Head Neck Surg. 1991;117:789-791)
Author Affiliations
From the Jules Stein Eye Institute and Department of Ophthalmology, UCLA School of Medicine, Los Angeles, Calif.
Footnotes
Accepted for publication February 15, 1991.
Presented at the annual meeting of the American Academy of Facial Plastic and Reconstructive Surgery, San Diego, Calif, September 1990.
Reprint requests to 5363 Balboa Blvd, Suite 246, Encino, CA 91316 (Dr Becker).
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