Tear-Film Stability After Upper Blepharoplasty with Fractional CO 2 Laser: A Retrospective 5-Month Series

Background: Blepharoplasty rectifies functional and aesthetic problems of the periorbital area. Objective: This study tests the effectiveness of a combined procedure of blepharoplasty and fractional ablative CO 2, resurfacing on a total of 16 patients diagnosed with dermatochalasis and surgical indication for upper blepharoplasty. Methods: Patients underwent a combined procedure of blepharoplasty and fractional ablative CO 2 resurfacing. The examinations performed were: measurement of the height of the lacrimal meniscus, tear break-up time (FBUT), Schirmer test and Ocular Surface Disease Index questionnaire. Results: All values returned to baseline 150 days (5 months) from surgery with improvement of the FBUT value. No significant change or worsening in values was observed after laser application and periorbital blepharoplasty. Conclusions: The application of fractional CO 2 laser and blepharoplasty could lead to both psychological and social improvement in patients, reducing the potential risks that can lead to dry eye syndrome.