Abstract Listings 2024

Purpose

To investigate the effect of a compression dressing on edema, ecchymosis, aesthetic outcome, pain, and ocular surface irritation after upper eyelid blepharoplasty.

Methods

We conducted a case-control study. Bilateral blepharoplasty was performed on both upper eyelids at the same time in patients with dermatochalasis. One side was randomized for compression dressing (CD). Edema and ecchymosis were scored at a four-point rating scale by a blinded observer one day (D1), one week (D7) and 8 weeks (D56) after surgery; the same for scar formation regarding redness and bulging at D7 and D56. Aesthetic outcome was evaluated by patient and blinded observer using the Global aesthetic improvement score (GAIS) at D1, D7 and D56. Postoperative pain was scored by the patients using a visual analogue scale (0 to 10) at D1. At D1 patients had to state which side they felt more comfortable.

Results

Edema, scar formation and aesthetic outcome evaluated by the patient and blinded observer did not differ between the two sides at any of the survey days (p>0.05). Median degree of ecchymosis was slightly higher on the lids without compression dressing at D1 (1 (0-2) vs 1.5 (0-2); p 0.495) and D7 (0 (0-2) vs 0.5 (0-2); p=0.183), but not statistically significant. Postoperative pain was similar regardless to the use of CD (p=0.925). The majority (55%) found the side without CD more comfortable. There was no case of corneal erosion and corneal staining was similar in both groups (p >0.05).

Conclusion

Using a compression dressing after blepharoplasty shows no advantages regarding postoperative edema, ecchymosis, scar formation or aesthetic results in the early postoperative period. As most patients preferred the non-covered side, compression dressing can be omitted after blepharoplasty without inferiority for the postoperative results.

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