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Arch Otolaryngol Head Neck Surg. 2001;127:724.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Drs Burke and Wang have provided a balanced and informative resolution to an old problem for facial plastic surgeons. The prevention of dry eye syndrome by recognizing potential problem patients prior to blepharoplasty is a worthy challenge. Dry eye syndrome is a very debilitating disorder. When it occurs following blepharoplasty, dry eye syndrome can totally eclipse any aesthetic benefit from the procedure and can become the focal point of the patient's life. For this reason, ophthalmologic evaluation has been recommended by some training institutions as essential prior to blepharoplasty.

The authors present realistic reasons for and against lacrimal testing before blepharoplasty. The argument against routine lacrimal testing, however, seems more substantial, as "postoperative dry eye syndrome is more related to mechanical changes in lid function than to changes in physiological functioning." I have always believed that it is the thorough history and the complete and careful preoperative evaluation of the . . . [Full Text of this Article]

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