Risk Factors for Worsening Dry Eye Symptoms in Patients Undergoing External Levator Advancement Surgery
Larger postoperative values of MRD1, margin reflex distance-2, and change in MRD1 are associated with worsening postoperative dry eye symptoms in those undergoing external levator advancement. In patients with DES, there was no significant difference in final MRD1; however, a greater change from preoperative and postoperative MRD1 was associated with worsening DSX. Oculoplastic surgeons may consider doing simultaneous lower eyelid surgery that decreases margin reflex distance-2 to potentially help reduce the chance of postoperative dry eye symptoms.
Authors
- Marycon C. Jiro (ORCID: https://orcid.org/0000-0002-8110-9993)
- Bryan J. Winn (ORCID: https://orcid.org/0000-0002-5609-3723)
- Larissa Ghadiali
- Christine Zemsky (ORCID: https://orcid.org/0000-0003-0401-7734)
- Noam D. Rudnick
Institutions
- Loyola University Medical Center (US)
- San Francisco VA Medical Center (US)
- Johns Hopkins University (US)
- University of California, San Francisco (US)
- Edward Hines, Jr. VA Hospital (US)
- California Retina Consultants (US)
- Smith-Kettlewell Eye Research Institute (US)
Publication Details
- Journal
- Ophthalmic Plastic and Reconstructive Surgery
- Published
- 2025-05-06
- DOI
- https://doi.org/10.1097/iop.0000000000002947
- Citations
- 1
- Primary Topic
- Ocular Surface and Contact Lens
- Type
- article
- Field-Weighted Citation Impact
- 1.88