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Background:This study was designed to examine if patients undergoing the same operative procedure(blepharochalasis operation)have different subjective recognition of dry eye problems depending n whether they had he operation for cosmetic or medical reasons.Patients and Method:The study included 32 patients(25 women,7 men,mean age 57.8± 12.1 years),who underwent blepharochalasis operation between 1/2005 and 5/2005.In 17 patients(group 1)the operation was done for cosmetic reasons,in 15 patients we found a medical indication(group 2).We evaluated the subjective discomfort from the lid problems as well as the satisfaction with the operation in general and pre-or postoperative recognition of dry eye problems(all done by scales).Additionally we measured tear secretion by Schirmer’ s test and break-up time before and after operation.Results:The subjective recognition of a dry eye was stronger in group 1 than in group 2 before and after operation(p < 0.005),but objective data were nearly identically(BUT,Schirmer’ s test).Conclusion:When operated due to cosmetic reasons the stronger recognition of sicca problems(while objectively lacking)is may be caused by a stronger fixation on the lid disease itself.It seems necessary to document objective data for that reason.
Background: This study was designed to examine if patients undergoing the same operative procedure (blepharochalasis operation) have different subjective recognition of dry eye problems depending on whether they had he operation for cosmetic or medical reasons. Patients and Method: The study included 32 patients ( 25 women, 7 men, mean age 57.8 ± 12.1 years), who underwent blepharochalasis operation between 1/2005 and 5/2005. In 17 patients (group 1) the operation was done for cosmetic reasons, in 15 patients we found a medical indication (group 2). We evaluated the subjective discomfort from the lid problems as well as the with satisfaction of the operation in general and pre-or postoperative recognition of dry eye problems (all done by scales) .Additionally we measured tear secretion by Schirmer’s test and break-up time before and after operation. Results: The subjective recognition of a dry eye was stronger in group 1 than in group 2 before and after operation (p <0.005), but objective data were nearly ide ntically (BUT, Schirmer’s test) .Conclusion: When operated due to cosmetic reasons the stronger recognition of sicca problems (while objectively lacking) may be caused by a stronger fixation on the lid disease itself. It seems necessary to document objective data for that reason.