The Necessity for a Compression Eye Patch After Orbital Surgery
Author: Ryo Kikuhi
Base Hospital / Institution: Oculofacial Clinic Tokyo
ePoster presentation
Abstract ID: 24-238
Purpose
Compression eye patches are commonly used after orbital surgery to prevent retrobulbar hemorrhage and swelling. However, no previous reports have mentioned their necessity. Nor have they been evaluated. In this report, we evaluate the efficacy of eye patches for orbital surgery with simultaneous bilateral orbital fat decompression surgery.
Methods
This is a retrospective study of patients who underwent bilateral orbital fat decompression at the Oculofacial Clinic Tokyo from October 2023 to February 2024. A total of 20 patients (2 male, 18 female) with a mean age of 42.90 ± 12.98 years who underwent orbital fat decompression for ocular proptosis were observed. Nineteen of the 20 patients had thyroid eye disease and one had congenital ocular proptosis. None of the patients had a history of bleeding disorders or antithrombotic medications and underwent surgery under general anesthesia on a day case basis with both eyes operated on simultaneously. Follow-up was at three months. In this study, a compression eye patch was applied for 2 hours immediately after surgery to the left eye only, but not to the right eye. The surgery was performed through a lower lid conjunctival incision. We created a scoring chart to examine downtime, color, area of bruising, degree of swelling, and complications in the left and right eyes on the day after surgery. Student’s t-test and chi-square test were used for the statistics.
Results
The amount of orbital fat resection in both eyes was 3.25±1.71 cc in the right eye and 3.55±1.52 cc in the left eye, with no significant difference (p=0.57). There was no significant difference in color, area of bruising, or degree of swelling between the two groups (p=0.91, 0.90, 0.90). No major postoperative complications, such as post-spherical hemorrhage or significant subcutaneous hemorrhage, were observed. No patients developed new diplopia, severe visual acuity, or visual field defects.
Conclusion
There were no differences between the two eyes in any of the evaluation criteria. This result suggests that compression eye patches may be unnecessary in orbital surgery.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Tomoyuki | Kashima | Oculofacial Clinic Tokyo |
| Yuki | Kamiya | Oculofacial Clinic Tokyo |
| Toshiki | Nishizumi | Oculofacial Clinic Tokyo |
| Ryo | Nagaoka | Oculofacial Clinic Tokyo |
| Kihei | Yoshida | Oculofacial Clinic Tokyo |
| Yuji | Yamana | Oculofacial Clinic Tokyo |
