Does depth of Asian DES depend on surgeon or anatomy? (Photo)

Question

Had revisional DES on 1 eye after crease failure. Incisional height was identical to the original, and the same technique (skin-levator-tarsus) was used. However, my new crease seems deeper, higher, and overrotated. I know there is still swelling 4 mo post-op, but considering all basic factors like anatomy/height/technique were the same, can I expect my new crease to loosen and fall to the level of my other eye? The healing this time feels prolonged.

Donald B. Yoo, MD, FACS · Answer

The depth of the supratarsal crease can be modulated by the surgical technique and the manner in which the fixation sutures are placed. Considering all technical factors remained constant between your two eyes, the depth of the creases should become very symmetric once fully healed. Keep in mind that your other eye is also continuing to heal and mature while your newly operated eye heals, so this process may be more prolonged than your initial surgery.

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