The Effect of Blepharoplasty on Hemodynamic Parameters of the Eyelids at Different Observation Periods

Despite the widespread belief that blepharoplasty is a non-traumatic cosmetic intervention, clinical observations and analysis of scientific literature data indicate that the above-mentioned operation can cause a number of serious side effects, which, among other things, may be associated with impaired blood circulation in the eyelids and periorbital zone. Patients and methods. There were 148 patients (296 eyes) in the study. All patients included underwent color Doppler mapping (CDM) of the right and left eyes to assess geomdignamic indicators in the lacrimal artery bed, the results were averaged and included in the protocol. CDM was performed using the transpalpebral method. All patients included in the study were divided into groups depending on the presence or absence of blepharoplasty in the anamnesis, as well as the time after blepharoplasty: 115 patients — the main group, which was divided into subgroups: 32 patients 1 month after blepharoplasty, 27 patients 3 months after blepharoplasty, 31 patients 6 months after blepharoplasty, 25 patients more than 12 months after blepharoplasty; 33 patients without blepharoplasty — the control group. Results and conclusion. The study allowed us to establish that during the observation periods of patients after blepharoplasty of 1–3 months, there is a reliable increase in the systolic blood flow velocity — Vs according to color Doppler mapping, compared to patients who did not undergo this surgical intervention, which may be associated with the formation of scar tissue and the presence of a postoperative inflammatory process. Stabilization of the Vs index was determined at a 6-month observation period. In the group of patients aged 12 months or more, a reliable decrease in systolic blood flow velocity to a level that corresponds to similar indicators in the age group over 60 years without blepharoplasty is noted. The obtained data should be taken into account when preparing patients for planned ophthalmic surgery, which can be recommended for patients with a history of blepharoplasty no earlier than 6 months later, at the stage of stabilization of hemodynamic parameters. This will reduce the risk of complications in the postoperative period associated with changes in hemodynamic parameters of the eyelids, as well as carry out preventive treatment of dry eye syndrome in patients with a history of blepharoplasty, since trophism, including the meibomian glands, is impaired as a result of blepharoplasty