Intraocular Pressure Changes After Rhinoplasty: A Before‐and‐After Cross‐Sectional Study

ABSTRACT Background and Aims Rhinoplasty, a prevalent cosmetic surgery, often involves lateral osteotomy, which can lead to ocular complications such as edema and ecchymosis. A potential complication is increased intraocular pressure (IOP) postoperatively. This study aims to investigate the impact o...

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Main Authors: Ali Goljanian Tabrizi, Matin Ghazizadeh, Atiyeh Zahedi
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.70389
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author Ali Goljanian Tabrizi
Matin Ghazizadeh
Atiyeh Zahedi
author_facet Ali Goljanian Tabrizi
Matin Ghazizadeh
Atiyeh Zahedi
author_sort Ali Goljanian Tabrizi
collection DOAJ
description ABSTRACT Background and Aims Rhinoplasty, a prevalent cosmetic surgery, often involves lateral osteotomy, which can lead to ocular complications such as edema and ecchymosis. A potential complication is increased intraocular pressure (IOP) postoperatively. This study aims to investigate the impact of lateral osteotomy during rhinoplasty on IOP in patients. Methods This prospective before‐and‐after cross‐sectional study evaluated the effect of lateral osteotomy during rhinoplasty on IOP in 96 patients. Preoperative ophthalmologic examinations included best‐corrected visual acuity, slit lamp biomicroscopy, Goldmann tonometry, and dilated fundoscopy. IOP measurements were taken three times per eye at baseline, during surgery, on the first postoperative day, after nasal pin removal on the seventh postoperative day, and on the thirtieth postoperative day using a Goldmann tonometer. The mean IOP was recorded at each time point. Results The study found no significant changes in IOP at 1, 7, or 30 days postsurgery (p = 0.194). Additionally, the type of surgery did not significantly affect ocular internal pressure (p = 0.622). Conclusion Rhinoplasty with lateral osteotomy appears to be safe concerning IOP. However, monitoring IOP during rhinoplasty is advisable.
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spelling doaj-art-44d8927257014fdfb8e65c7623ad1dd22025-01-29T03:42:39ZengWileyHealth Science Reports2398-88352025-01-0181n/an/a10.1002/hsr2.70389Intraocular Pressure Changes After Rhinoplasty: A Before‐and‐After Cross‐Sectional StudyAli Goljanian Tabrizi0Matin Ghazizadeh1Atiyeh Zahedi2Department of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital Shahid Beheshti University of Medical Sciences Tehran IranABSTRACT Background and Aims Rhinoplasty, a prevalent cosmetic surgery, often involves lateral osteotomy, which can lead to ocular complications such as edema and ecchymosis. A potential complication is increased intraocular pressure (IOP) postoperatively. This study aims to investigate the impact of lateral osteotomy during rhinoplasty on IOP in patients. Methods This prospective before‐and‐after cross‐sectional study evaluated the effect of lateral osteotomy during rhinoplasty on IOP in 96 patients. Preoperative ophthalmologic examinations included best‐corrected visual acuity, slit lamp biomicroscopy, Goldmann tonometry, and dilated fundoscopy. IOP measurements were taken three times per eye at baseline, during surgery, on the first postoperative day, after nasal pin removal on the seventh postoperative day, and on the thirtieth postoperative day using a Goldmann tonometer. The mean IOP was recorded at each time point. Results The study found no significant changes in IOP at 1, 7, or 30 days postsurgery (p = 0.194). Additionally, the type of surgery did not significantly affect ocular internal pressure (p = 0.622). Conclusion Rhinoplasty with lateral osteotomy appears to be safe concerning IOP. However, monitoring IOP during rhinoplasty is advisable.https://doi.org/10.1002/hsr2.70389ecchymosisedemaintraocular pressurerhinoplasty
spellingShingle Ali Goljanian Tabrizi
Matin Ghazizadeh
Atiyeh Zahedi
Intraocular Pressure Changes After Rhinoplasty: A Before‐and‐After Cross‐Sectional Study
Health Science Reports
ecchymosis
edema
intraocular pressure
rhinoplasty
title Intraocular Pressure Changes After Rhinoplasty: A Before‐and‐After Cross‐Sectional Study
title_full Intraocular Pressure Changes After Rhinoplasty: A Before‐and‐After Cross‐Sectional Study
title_fullStr Intraocular Pressure Changes After Rhinoplasty: A Before‐and‐After Cross‐Sectional Study
title_full_unstemmed Intraocular Pressure Changes After Rhinoplasty: A Before‐and‐After Cross‐Sectional Study
title_short Intraocular Pressure Changes After Rhinoplasty: A Before‐and‐After Cross‐Sectional Study
title_sort intraocular pressure changes after rhinoplasty a before and after cross sectional study
topic ecchymosis
edema
intraocular pressure
rhinoplasty
url https://doi.org/10.1002/hsr2.70389
work_keys_str_mv AT aligoljaniantabrizi intraocularpressurechangesafterrhinoplastyabeforeandaftercrosssectionalstudy
AT matinghazizadeh intraocularpressurechangesafterrhinoplastyabeforeandaftercrosssectionalstudy
AT atiyehzahedi intraocularpressurechangesafterrhinoplastyabeforeandaftercrosssectionalstudy