Dry eye symptoms and chemosis may occur in more than one quarter of blepharoplasty patients, a new study suggests.

Dry eyes were reported in 26.5% of blepharoplasty patients, and chemosis occurred in 26.3% of such patients, according to a  study published online in the Archives of Facial Plastic Surgery. The researchers reviewed 892 eyelid surgeries performed by a single surgeon over a 10-year period.

The occurrence of the conditions was higher in patients who underwent concurrent upper and lower blepharoplasty and in patients who underwent skin-muscle flap blepharoplasty.

“Patients with a preoperative history of dry eye syndrome, eyelid laxity, scleral show, or hormone therapy use may be at greater risk for developing dry eyes or chemosis following surgery,“ the researchers report.