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Meta-Analysis
. 2023 Oct;47(5):1870-1883.
doi: 10.1007/s00266-023-03436-6. Epub 2023 Jul 10.

Upper Eyelid Blepharoplasty: Surgical Techniques and Results-Systematic Review and Meta-analysis

Catarina Rodrigues  1 , Francisco Carvalho  2   3 , Marisa Marques  3
Affiliations
Meta-Analysis

Upper Eyelid Blepharoplasty: Surgical Techniques and Results-Systematic Review and Meta-analysis

Catarina Rodrigues et al. Aesthetic Plast Surg. 2023 Oct.

Abstract

Background: Upper eyelid blepharoplasty is a surgical procedure that aims to correct the typical changes that occur with aging to the periorbital area. The outcomes of this surgery are aesthetic, as well as functional. Many studies have described an impact on the cornea, intraocular pressure, dry eye syndrome, and visual quality. The aim of this systematic review is to compare the different surgical techniques and their outcomes.

Methods: The authors performed a literature review through online databases PubMed, Web of Science, Clinicaltrials.gov, and CENTRAL libraries. Information was collected about the surgery techniques and the functional and aesthetic outcomes as well as complications of the interventions. Six types of upper blepharoplasty surgery were studied. Data were analyzed using Cochrane RevMan.

Results: Twenty studies were included in our systematic review and nine in our meta-analysis. We presented results about intraocular pressure, central corneal thickness, flattest keratometry, steepest keratometry, corneal astigmatism, visual acuity, Schirmer test 1 and 2, tear film break-up time and the ocular surface disease index questionnaire, according to type of surgery. Our meta-analysis showed no significant results.

Conclusions: No significant results were found; however, many studies reported an impact of upper blepharoplasty surgery in the outcomes studied. Only a small number of complications were reported, and patients were satisfied with the aesthetic outcomes.

Level of evidence iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .

Keywords: Complications; Dry eye; Intraocular pressure; Patient satisfaction; Upper blepharoplasty; Visual acuity.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Flowchart representing the first database search according to PRISMA guidelines
Fig. 2
Fig. 2
Flowchart representing the second database search according to PRISMA guidelines
See this image and copyright information in PMC

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