Objective: The aim of this study was to evaluate systemic and environmental risk factors, clinical findings and surgical trends in patients admitted to our clinic with the diagnosis of dermatochalasis.
Methods: Between January and March 2024, 114 patients with upper eyelid dermatochalasis were retrospectively analyzed cross-sectionally. Demographic data, history of systemic disease, surgical history, presenting complaints, tear tests (Schirmer, tear breakup time (TBUT)) and dermatochalasis grades were recorded.
Results: 66.66% of the patients were female and the mean age was 53.08±6.35 years. The most common reason for presentation was a feeling of heaviness/fatigue in the upper eyelid (41.22%). While 70.17% of the participants had at least one systemic disease, the most common comorbid conditions were diabetes mellitus, hypertension, thyroid dysfunction and rheumatologic diseases. Dry eye symptoms were reported in 31.57%, with a mean Schirmer test of 11.03±3.07 mm and TBUT of 5.87±1.86 seconds. There was no significant difference between Schirmer and TBUT values and the degree of dermatochalasis (p>0.05). While 37.71% of the patients were considering surgery, 65.11% of them wanted surgery for aesthetic reasons and 34.88% for functional reasons.
Conclusion: Dermatochalasis is a complex condition associated with functional and systemic effects and aesthetic problems. A history of systemic disease, dry eye symptoms and visual field limitation should be considered in managing the disease. Therefore, a multidisciplinary approach should be adopted, and patient expectations should be considered in treatment planning. Prospective studies with a large sample size may better elucidate the etiopathogenesis and patient management.

Keywords: Blepharoplasty, dermatochalasis, eyelid, oculoplasty

Amaç: Bu çalýþmanýn amacý, dermatoþalazis tanýsý ile kliniðimize baþvuran hastalarda sistemik ve çevresel risk faktörlerini, klinik bulgularý ve cerrahi eðilimleri deðerlendirmektir.
Yöntemler: Ocak-Mart 2024 tarihleri arasýnda üst göz kapaðýnda dermatoþalazis saptanan 114 hasta retrospektif kesitsel olarak analiz edilmiþtir. Demografik veriler, sistemik hastalýk öyküsü, cerrahi geçmiþ, baþvuru þikayetleri, gözyaþý testleri (Schirmer, gözyaþý kýrýlma zamaný (TBUT)) ve dermatoþalazis dereceleri kaydedilmiþtir.
Bulgular: Hastalarýn %66,66’sý kadýn olup, ortalama yaþ 53,08±6,35 yýl olarak hesaplanmýþtýr. En sýk baþvuru nedeni üst göz kapaðýnda aðýrlýk/yorgunluk hissidir (%41,22). Katýlýmcýlarýn %70,17’sinde en az bir sistemik hastalýk bulunmakta olup, en yaygýn komorbiditeler diabetes mellitus, hipertansiyon, tiroid disfonksiyonu ve romatolojik hastalýklardýr. Kuru göz semptomlarý hastalarýn %31,57’sinde bildirilmiþ, ortalama Schirmer testi 11,03±3,07 mm, TBUT deðeri ise 5,87±1,86 saniye olarak bulunmuþtur. Schirmer ve TBUT deðerleri ile dermatoþalazis derecesi arasýnda anlamlý bir fark saptanmamýþtýr (p>0.05). Hastalarýn %37,71’i cerrahi düþünmekte olup, bu grubun %65,11’i estetik, %34,88’i ise fonksiyonel nedenlerle cerrahi talebinde bulunmuþtur.
Sonuç: Dermatoþalazis, estetik sorunlarýn yaný sýra fonksiyonel ve sistemik etkilerle iliþkili kompleks bir tablodur. Sistemik hastalýk öyküsü, kuru göz semptomlarý ve görme alaný kýsýtlýlýðý hastalýk yönetiminde göz önünde bulundurulmalýdýr. Bu nedenle multidisipliner bir yaklaþým benimsenmeli ve hasta beklentileri tedavi planlamasýnda dikkate alýnmalýdýr. Geniþ örneklemli prospektif çalýþmalar, dermatoþalazisin etiyopatogenezi ve hasta yönetimini daha iyi aydýnlatabilir.

Anahtar Kelimeler: Blefaroplasti, dermatoþalazis, göz kapaðý, oküloplasti