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      Efficacy of Bandage Contact Lenses versus Eye Patching in Early Postoperative Period of Müller’s Muscle-Conjunctival Resection

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          Purpose: Patients with blepharoptosis who are treated with Müller’s muscle-conjunctival resection (MMCR) may experience postoperative pain and discomfort related to the suture material on the palpebral conjunctiva. This study aims to compare the postoperative subjective complaints, such as pain and discomfort, with a visual analog scale (VAS), and objectively evaluate the cornea with a tear break-up time (TBUT) test and fluorescein staining following MMCR that was managed by either a bandage contact lens (BCL) or eye patching. Methods: Forty patients who had undergone a unilateral MMCR were randomized into 2 groups. Group 1 ( n = 20) received a BCL, and group 2 ( n = 20) received an eye patch following the MMCR. Patients were evaluated postoperatively at 1 and 7 days in this prospective study. The postoperative pain was measured using a VAS, and the requirement for anti-inflammatory medication was analyzed. A slit-lamp examination was performed to evaluate the cornea with a TBUT test and fluorescein staining by objectively using the National Eye Institute (NEI) classification. Results: BCL treatment decreased the VAS score, the need for anti-inflammatory medications, and fluorescein staining using the NEI score and increased the TBUT score significantly compared with the eye patch treatment ( p < 0.001). Conclusions: Our findings suggest that the use of a BCL may be beneficial in terms of reducing early postoperative pain and eye stinging, protecting the cornea, and retaining the ability to perform daily activities following a MMCR.

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          Most cited references 21

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          Report of the National Eye Institute/Industry workshop on Clinical Trials in Dry Eyes.

           Nathan Lemp (1995)
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            Ocular tolerance of preservatives and alternatives.

            Eye drops are multiple dosage forms protected against microbial contamination by means of preservatives. However, the ocular tolerance of these chemicals can vary and this may result in adverse toxic or allergic reactions. This overview presents the pharmacopoeial requirements for the preservation of eye drops, the factors affecting ocular tolerance as well as the adverse external ocular effects induced by preservatives. The alternatives to the use of preservatives are also discussed, including the recent progress in eye drops packaging.
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              Müller muscle-conjunctiva resection. Technique for treatment of blepharoptosis.

              A new technique for resecting the Müller muscle and the conjunctiva for correction of blepharoptosis has been developed. The operation is performed on all patients in whom a 10% phenylephrine hydrochloride solution instilled in the conjunctival cul-de-sac will elevate the blepharoptotic eyelid to a cosmetically acceptable level. The results of the surgery have been satisfactory in 27 of 28 operated eyelids.

                Author and article information

                Ophthalmic Res
                Ophthalmic Research
                S. Karger AG
                February 2021
                22 October 2020
                : 64
                : 1
                : 139-144
                aDivision of Ophthalmic Plastic and Reconstructive Surgery, Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Clinic, University of Health Sciences, Istanbul, Turkey
                bDepartment of Ophthalmology, Okmeydani Education and Research Hospital, University of Health Sciences, Istanbul, Turkey
                Author notes
                *Mehmet Serhat Mangan, Department of Opthalmology, Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Clinic, University of Health Sciences, Tibbiye Cad. No. 23, Istanbul 34668 (Turkey), mehmetsmangan@yahoo.com
                512470 Ophthalmic Res 2021;64:139–144
                © 2020 S. Karger AG, Basel

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                Page count
                Figures: 1, Tables: 1, Pages: 6
                Research Article


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