{"id":10324,"date":"2026-06-16T12:34:24","date_gmt":"2026-06-16T12:34:24","guid":{"rendered":"https:\/\/kliniekhetbolwerk.nl\/eyelid-correction-and-glaucoma-influence-on-eye-pressure\/"},"modified":"2026-07-13T05:52:48","modified_gmt":"2026-07-13T05:52:48","slug":"eyelid-correction-and-glaucoma-influence-on-eye-pressure","status":"publish","type":"post","link":"https:\/\/kliniekhetbolwerk.nl\/en\/eyelid-correction-and-glaucoma-influence-on-eye-pressure\/","title":{"rendered":"Eyelid correction and glaucoma: influence on eye pressure"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"10324\" class=\"elementor elementor-10324 elementor-9727\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e1d1e28 e-flex e-con-boxed e-con e-parent\" data-id=\"6e1d1e28\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3edca1ea elementor-widget elementor-widget-text-editor\" data-id=\"3edca1ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Glaucoma (an eye pressure condition, often called &#8216;green cataract&#8217; in Dutch) is a condition of the optic nerve that is usually related to an increased pressure in the eye. Do you have glaucoma or are you known as a &#8216;glaucoma suspect&#8217;? Then it is important to report this with an eyelid correction, because the procedure can have a small, temporary influence on the eye pressure.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa53687 elementor-widget elementor-widget-heading\" data-id=\"aa53687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Why is glaucoma relevant with an eyelid correction?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bcece18 elementor-widget elementor-widget-text-editor\" data-id=\"bcece18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Research shows that an upper eyelid correction can lead to a slight, statistically measurable rise in the eyeball pressure (intraocular pressure, IOP) [1,4]. With healthy eyes this is usually not a problem, but in people with glaucoma or an increased risk of it, even a small rise in pressure can be significant: an increase of only 1 mmHg has been linked in earlier research to an approximately 10% higher risk of progression of glaucoma [4]. <\/p><p>The researchers possibly explain this effect by changes in the tension of the tissue around the eye after the removal of excess skin, comparable to the so-called &#8216;tight orbit syndrome&#8217; [1,4].<\/p><p>With a lower eyelid correction too, temporary changes in the eye pressure and the anterior chamber of the eye have been described, which usually normalise again but deserve careful monitoring in at-risk patients [3].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da40fd3 elementor-widget elementor-widget-heading\" data-id=\"da40fd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Points of attention<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75e2201 elementor-widget elementor-widget-text-editor\" data-id=\"75e2201\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>An eyelid correction can temporarily slightly increase the eye pressure [1,3,4]<\/li><li>With glaucoma or an increased risk of it, careful follow-up after the procedure is important [2,4]<\/li><li>Sudden, strong pressure changes can in rare cases lead to acute complaints, as described with acute glaucoma after eyelid surgery [1]<\/li><li>The use of eye pressure-lowering eye drops must simply be continued around the procedure<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5f25c1 elementor-widget elementor-widget-heading\" data-id=\"f5f25c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our protocol at Kliniek het Bolwerk<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f6c04f elementor-widget elementor-widget-heading\" data-id=\"1f6c04f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Extensive medical history<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db7e16e elementor-widget elementor-widget-text-editor\" data-id=\"db7e16e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We ask whether you are known to have glaucoma, an increased eye pressure, or whether this occurs in your family.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75bbea3 elementor-widget elementor-widget-heading\" data-id=\"75bbea3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. Consultation with the ophthalmologist<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c32fbae elementor-widget elementor-widget-text-editor\" data-id=\"c32fbae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In the case of a known glaucoma diagnosis, we request a recent assessment from your ophthalmologist, so that we know how stable your eye pressure and visual field are [2,4].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-629de7f elementor-widget elementor-widget-heading\" data-id=\"629de7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Continuing medication<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c70c7f elementor-widget elementor-widget-text-editor\" data-id=\"6c70c7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Eye pressure-lowering drops are simply continued around the procedure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-226fbef elementor-widget elementor-widget-heading\" data-id=\"226fbef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. Check after the procedure<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6be734d elementor-widget elementor-widget-text-editor\" data-id=\"6be734d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>With patients with glaucoma, we advise an extra check of the eye pressure after the procedure, possibly by the ophthalmologist, so that any changes are noticed early [4].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfdcb71 e-con-full e-flex e-con e-child\" data-id=\"bfdcb71\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fce09b elementor-widget elementor-widget-text-editor\" data-id=\"1fce09b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i><span style=\"font-weight: 400;\">Important: glaucoma is, as a rule, not a contraindication for an eyelid correction, but requires consultation with the ophthalmologist beforehand and extra attention to the eye pressure after the procedure.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1587f2c elementor-widget elementor-widget-heading\" data-id=\"1587f2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When do we advise against the procedure (for the time being)?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73ca29a elementor-widget elementor-widget-text-editor\" data-id=\"73ca29a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of unstable or poorly regulated glaucoma [2,4]<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of a narrow chamber angle (increased risk of acute glaucoma), without assessment by the ophthalmologist [1]<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">If the ophthalmologist advises against the procedure at this time<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-435c0d7 elementor-widget elementor-widget-heading\" data-id=\"435c0d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our advice<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c758f5a elementor-widget elementor-widget-text-editor\" data-id=\"c758f5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Do you have glaucoma or an increased eye pressure and are you considering an eyelid correction? Discuss this during the intake consultation at Kliniek het Bolwerk. We coordinate, if necessary, with your ophthalmologist and plan an extra check after the procedure, so that you can recover safely and with peace of mind.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61bfeb9 elementor-widget elementor-widget-heading\" data-id=\"61bfeb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Literature references<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3978ea elementor-widget elementor-widget-text-editor\" data-id=\"d3978ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The publications below form the medical-scientific basis of this article:<\/p><ol><li>Possible Influence of Upper Blepharoplasty on Intraocular Pressure. Ophthalmic Plastic &#038; Reconstructive Surgery (PubMed). 2020. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32658133\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32658133\/<\/a>  <\/li><li>Changes in Intraocular Pressure and Ocular Biometry After Blepharoplasty. Aesthetic Plastic Surgery.  2022.  <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00266-021-02756-9\" target=\"_blank\" rel=\"noopener\">https:\/\/link.springer.com\/article\/10.1007\/s00266-021-02756-9<\/a><\/li><li>Prospective Evaluation of Iridocorneal Angle and Anterior Segment Changes Following Lower Eyelid Blepharoplasty. ScienceDirect. 2026. <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1572100026001808\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1572100026001808<\/a>  <\/li><li>Upper Blepharoplasty May Raise Intraocular Pressure. Ophthalmology Advisor.  2024.  <a href=\"https:\/\/www.ophthalmologyadvisor.com\/news\/intraocular-pressure-rise-may-be-influenced-by-blepharoplasty\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ophthalmologyadvisor.com\/news\/intraocular-pressure-rise-may-be-influenced-by-blepharoplasty\/<\/a><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Glaucoma (an eye pressure condition, often called &#8216;green cataract&#8217; in Dutch) is a condition of the optic nerve that is usually related to an increased pressure in the eye. Do you have glaucoma or are you known as a &#8216;glaucoma suspect&#8217;? Then it is important to report this with an eyelid correction, because the procedure [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":9834,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[92],"tags":[],"class_list":["post-10324","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eyelid-surgery"],"acf":[],"_links":{"self":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/comments?post=10324"}],"version-history":[{"count":1,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10324\/revisions"}],"predecessor-version":[{"id":10325,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10324\/revisions\/10325"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media\/9834"}],"wp:attachment":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media?parent=10324"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/categories?post=10324"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/tags?post=10324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}