Dermal Filler as A New Tool for Oculoplastic Surgeons
Author: Shirin Hamed Azzam
Base Hospital / Institution: Baruch Padeh Medical Center
ePoster presentation
Abstract ID: 24-120
Purpose
Eyelid malposition causes an irritated, watery eye as well as the aesthetic consequences for the patient. In the past, oculoplastic surgeons always proposed surgical treatments for lid malposition which sometimes include a long recovery postoperatively, and emotional trauma for the patient. Therefore, the aim of this study was to assess the use of dermal filler as an alternative treatment for eyelid malposition.
Methods
A retrospective cohort study of patients who underwent dermal filler treatment for eyelid malposition. The indications, volume of injected dermal filler, and patients’s aesthetic improvement scale (PAIS) were analyzed. MUNK score for epiphora was reviewed pre- and post two weeks of dermal filler injections as many patients suffer from watery eye secondary to eyelid malposition. Patients were longitudinally monitored for the development of adverse events.
Results
Twelve eyelids of eight patients were eligible for inclusion in the current study. The mean (standard deviation [SD]) age of patients was 55.66 (14.6) years and 3 (37.5%) patients were females. The indications were: cicatricial ectropion (n=5), Paralytic ectropion (n=4), negative vector lid (n=2), and lagopthalmos correction by using the filler similar to a gold weight (n=1). The treated areas were the preseptal plane of 11 (91.6%) lower eyelids and 1 upper eyelid (8.3%). The mean (SD) volume of the injected dermal filler into the eyelid was 0.45 (0.15) cc. The mean post injection PAIS was 4. MUNK score improved significantly post dermal filler injection (p<0.05). The mean follow up was 15.58 (9.67) months without adverse events except of 1 patient who had mild unintentionally subcontaneous hemorrhage that was spontaneously resolved following 10 days.
Conclusion
Our findings indicate that hyaluronic acid filler injections are a successful and safe treatment for cicatricial and paralytic ectropion, negative vector lid, and lagophthalmos. Hyaluronic acid injections avoid many of the risks and complications of eyelid surgery. Furthermore, it is a rapid procedure which can be performed in the office setting with little or no downtime.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Abed | Mukari | Baruch Padeh Medical Center |
| Morris | Hartestein | Baruch Padeh Medical Center |
