1.Anterior Segment Changes after Lens Extraction in Acute Angle-Closure Glaucoma Assessed by Scheimpflug Tomography
Irem ONAL ; Elif Ertan BAYDEMIR ; Yusuf YILDIRIM
Korean Journal of Ophthalmology 2026;40(3):274-279
Purpose:
This study aimed to evaluate changes in anterior segment morphology and intraocular pressure (IOP) in patients with acute angle-closure glaucoma (AACG) following early phacoemulsification, using Scheimpflug-Placido disc tomography.
Methods:
In this retrospective cohort study, 32 eyes of 32 phakic patients diagnosed with AACG and referred to a tertiary hospital between 2021 and 2023 were included. After medical stabilization of IOP and inflammation, all patients underwent cataract surgery within 1 month of the acute attack. Anterior segment parameters were assessed using Scheimpflug-Placido disc tomography before and 1 month after surgery. Paired t-tests were used for statistical analysis.
Results:
The mean age of patients was 65.76 ± 9.63 years. Postoperatively, best-corrected visual acuity improved significantly (preoperative, 0.81 ± 0.92 logMAR; postoperative, 0.18 ± 0.30 logMAR; p < 0.01). Mean IOP decreased by 22.80 ± 3.45 mmHg (p < 0.01). Significant increases were observed in iridocorneal angle (from 24.62° ± 9.59° to 46.20° ± 10.93°), anterior chamber depth (from 1.34 ± 0.65 to 3.02 ± 0.82 mm), and anterior chamber volume (from 98.01 ± 28.62 to 145.87 ± 27.27 mm3), all with p < 0.01. Central corneal thickness decreased slightly but significantly (from 579.80 ± 47.48 to 556.80 ± 47.29 μm, p = 0.03).
Conclusions
Early lens extraction in AACG significantly improves anterior segment parameters and lowers IOP. Scheimpflug- Placido disc tomography is a useful noninvasive tool to quantify these changes.
2.Effects of Upper Eyelid Blepharoplasty on Perceived Attractiveness, Success, and Health
Melek Mutlu SÖNMEZ ; Iskender Alkın SOLMAZ ; Elif ERTAN
Korean Journal of Ophthalmology 2024;38(6):437-440
Purpose:
This study aims to evaluate the impact of upper eyelid blepharoplasty on perceived age, attractiveness, success, and overall health as rated by observers.
Methods:
A web-based survey was conducted with 203 observers who were unaware of the study’s purpose. They assessed preoperative and postoperative images of 12 female patients using the Delphi method to ensure appropriate image selection and unbiased ratings. Observers rated the images on a visual analog scale from 0 to 10, where higher scores indicated more favorable perceptions.
Results:
The observer group consisted of 108 women (53.2%) and 95 men (46.8%), with an age range of 18 to 61 years. The mean age perceived by observers decreased from 51.75 years before surgery to 42.10 years after surgery, indicating a significant reduction in perceived age (p = 0.01). Additionally, postsurgical assessments showed significant increases in perceived attractiveness, success, and overall health.
Conclusions
Upper eyelid blepharoplasty significantly enhances how patients are perceived in terms of youthfulness, attractiveness, and success. These findings underscore the positive impact of cosmetic eyelid surgery on public perception.
3.Effects of Upper Eyelid Blepharoplasty on Perceived Attractiveness, Success, and Health
Melek Mutlu SÖNMEZ ; Iskender Alkın SOLMAZ ; Elif ERTAN
Korean Journal of Ophthalmology 2024;38(6):437-440
Purpose:
This study aims to evaluate the impact of upper eyelid blepharoplasty on perceived age, attractiveness, success, and overall health as rated by observers.
Methods:
A web-based survey was conducted with 203 observers who were unaware of the study’s purpose. They assessed preoperative and postoperative images of 12 female patients using the Delphi method to ensure appropriate image selection and unbiased ratings. Observers rated the images on a visual analog scale from 0 to 10, where higher scores indicated more favorable perceptions.
Results:
The observer group consisted of 108 women (53.2%) and 95 men (46.8%), with an age range of 18 to 61 years. The mean age perceived by observers decreased from 51.75 years before surgery to 42.10 years after surgery, indicating a significant reduction in perceived age (p = 0.01). Additionally, postsurgical assessments showed significant increases in perceived attractiveness, success, and overall health.
Conclusions
Upper eyelid blepharoplasty significantly enhances how patients are perceived in terms of youthfulness, attractiveness, and success. These findings underscore the positive impact of cosmetic eyelid surgery on public perception.
4.Effects of Upper Eyelid Blepharoplasty on Perceived Attractiveness, Success, and Health
Melek Mutlu SÖNMEZ ; Iskender Alkın SOLMAZ ; Elif ERTAN
Korean Journal of Ophthalmology 2024;38(6):437-440
Purpose:
This study aims to evaluate the impact of upper eyelid blepharoplasty on perceived age, attractiveness, success, and overall health as rated by observers.
Methods:
A web-based survey was conducted with 203 observers who were unaware of the study’s purpose. They assessed preoperative and postoperative images of 12 female patients using the Delphi method to ensure appropriate image selection and unbiased ratings. Observers rated the images on a visual analog scale from 0 to 10, where higher scores indicated more favorable perceptions.
Results:
The observer group consisted of 108 women (53.2%) and 95 men (46.8%), with an age range of 18 to 61 years. The mean age perceived by observers decreased from 51.75 years before surgery to 42.10 years after surgery, indicating a significant reduction in perceived age (p = 0.01). Additionally, postsurgical assessments showed significant increases in perceived attractiveness, success, and overall health.
Conclusions
Upper eyelid blepharoplasty significantly enhances how patients are perceived in terms of youthfulness, attractiveness, and success. These findings underscore the positive impact of cosmetic eyelid surgery on public perception.
5.Effects of Upper Eyelid Blepharoplasty on Perceived Attractiveness, Success, and Health
Melek Mutlu SÖNMEZ ; Iskender Alkın SOLMAZ ; Elif ERTAN
Korean Journal of Ophthalmology 2024;38(6):437-440
Purpose:
This study aims to evaluate the impact of upper eyelid blepharoplasty on perceived age, attractiveness, success, and overall health as rated by observers.
Methods:
A web-based survey was conducted with 203 observers who were unaware of the study’s purpose. They assessed preoperative and postoperative images of 12 female patients using the Delphi method to ensure appropriate image selection and unbiased ratings. Observers rated the images on a visual analog scale from 0 to 10, where higher scores indicated more favorable perceptions.
Results:
The observer group consisted of 108 women (53.2%) and 95 men (46.8%), with an age range of 18 to 61 years. The mean age perceived by observers decreased from 51.75 years before surgery to 42.10 years after surgery, indicating a significant reduction in perceived age (p = 0.01). Additionally, postsurgical assessments showed significant increases in perceived attractiveness, success, and overall health.
Conclusions
Upper eyelid blepharoplasty significantly enhances how patients are perceived in terms of youthfulness, attractiveness, and success. These findings underscore the positive impact of cosmetic eyelid surgery on public perception.
6.Effects of Upper Eyelid Blepharoplasty on Perceived Attractiveness, Success, and Health
Melek Mutlu SÖNMEZ ; Iskender Alkın SOLMAZ ; Elif ERTAN
Korean Journal of Ophthalmology 2024;38(6):437-440
Purpose:
This study aims to evaluate the impact of upper eyelid blepharoplasty on perceived age, attractiveness, success, and overall health as rated by observers.
Methods:
A web-based survey was conducted with 203 observers who were unaware of the study’s purpose. They assessed preoperative and postoperative images of 12 female patients using the Delphi method to ensure appropriate image selection and unbiased ratings. Observers rated the images on a visual analog scale from 0 to 10, where higher scores indicated more favorable perceptions.
Results:
The observer group consisted of 108 women (53.2%) and 95 men (46.8%), with an age range of 18 to 61 years. The mean age perceived by observers decreased from 51.75 years before surgery to 42.10 years after surgery, indicating a significant reduction in perceived age (p = 0.01). Additionally, postsurgical assessments showed significant increases in perceived attractiveness, success, and overall health.
Conclusions
Upper eyelid blepharoplasty significantly enhances how patients are perceived in terms of youthfulness, attractiveness, and success. These findings underscore the positive impact of cosmetic eyelid surgery on public perception.

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