Improvement in Subjective Visual Function and Quality of Life Outcome Measures After Blepharoptosis Surgery

Battu, Vijay K.; Meyer, Dale R.; Wobig, John L.

doi:10.1016/s0002-9394(14)70634-8

Cited by 71 publications

(60 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There are only four published studies specifically concerning the effect of blepharoptosis on QoL and visual function. 3,5,12,13 We have shown that brow ptosis repair results in a measurable increase in health-related QoL. This is in keeping with other reports of patients with ophthalmic disease who are known to be at 'high risk for reduced functional status/quality-of-life'.…”

Section: Discussionsupporting

confidence: 88%

“…Other studies have reported impaired visual field in blepharoptosis, with greater visual field loss being attributed to worse ptosis. 3,5 Visual impairment reduces QoL. 18,19 As such, it is reasonable to expect brow ptosis to have a negative effect on QoL, and corrective surgery to address this.…”

Section: Discussionmentioning

confidence: 99%

“…The instrument has been validated in that it has been found to be feasible and acceptable in terms of time needed to respond, lack of ambiguity and so on, but it is not a proven instrument with known reliability. 3,5 It focusses on activities and symptoms that would potentially be adversely affected by visual field loss associated with brow ptosis. It comprises four main domains: daily activities, current economic status, visual symptoms, and well being.…”

Section: Methodsmentioning

confidence: 99%

“…[1][2][3][4][5] In blepharoptosis patients, self-reported preoperative functional impairment is strongly associated with the degree of post-surgical functional improvement. 5 There are no reports in the literature of the effect of brow ptosis on QoL and visual function, nor of the correlation between the following parameters of eyebrow position: FRD1 (the distance mm from corneal reflex to upper skin fold); LLB (the distance from lowest brow hair to lower limbus); LLF (the distance from centre of lower lid to upper-lid skin fold), and visual fields, QoL and visual function.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Brow ptosis: are we measuring the right thing? The impact of surgery and the correlation of objective and subjective measures with postoperative improvement in quality-of-life

Mellington

Khooshabeh

2012

Eye

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Brow ptosis: are we measuring the right thing? The impact of surgery and the correlation of objective and subjective measures with postoperative improvement in quality-of-life

Mellington

Khooshabeh

2012

Eye

View full text Add to dashboard Cite

show abstract

“…The satisfactory results of levator muscle surgery suggested that this, or other forms of surgery, for example frontalis slings and tarsomyectomy, are possible options. As in de novo ocular MG, the requisites for surgery should include objective interpalpebral eyelid fissure height 15 and subjective symptoms (visual field and cosmesis), 16 and stable disease (in this case, in terms of both leukemia and GVHD as well as ptosis). 17 In conclusion, we have shown that post SCT ptosis may present as a significant ophthalmological problem for some leukemia survivors with cGVHD.…”

Section: Discussionmentioning

confidence: 99%

Immunological and electrophysiological investigations of severe ptosis after bone marrow transplantation

Hon

Mak

Kwok

et al. 2004

Bone Marrow Transplant

View full text Add to dashboard Cite

Association of Upper Eyelid Ptosis Repair and Blepharoplasty With Headache-Related Quality of Life

Şimşek

2017

JAMA Facial Plast Surg

View full text Add to dashboard Cite

be a functional indication for ptosis repair and blepharoplasty. OBJECTIVE To evaluate the changes in headache-related quality of life in patients who underwent upper eyelid ptosis repair or blepharoplasty. DESIGN, SETTING, AND PARTICIPANTS A prospective cohort study was conducted among 108 patients who underwent standard upper eyelid blepharoplasty and 44 patients who underwent ptosis repair (levator resection, Müller muscle resection, or frontalis suspension) for obscuration of the superior visual field at an ophthalmology clinic's oculoplastic department from September 1, 2014, to September 1, 2015. A validated headache-related quality-of-life survey, the Headache Impact Test-6 (HIT), was administered preoperatively and postoperatively to patients who had tension-type headache. The minimum time interval after the operation was 3 months (mean, 13.5 weeks; range, 12-17 weeks). MAIN OUTCOMES AND MEASURES Postoperative HIT scores, decline in HIT scores, and marginal reflex distance test 1 scores. RESULTS Of the 108 patients (66 women and 42 men; mean [SD] age, 49.8 [10.7] years) who underwent blepharoplasty and the 44 patients (26 women and 18 men; mean [SD] age, 45.6 [17.8] years) who underwent ptosis repair, 38 (35.2%) and 28 (63.6%), respectively, had symptoms of tension-type headaches. In both groups, the mean (SD) postoperative HIT scores were statistically significantly better than the preoperative HIT scores (blepharoplasty group: preoperative score, 55.9 [6.6] vs postoperative score, 46.4 [9.0]; ptosis repair group: preoperative score, 60.0 [7.2] vs postoperative score, 42.3 [9.3]; P = .001). In the patients who underwent ptosis repair, the mean (SD) preoperative HIT score was significantly higher than in those who underwent blepharoplasty (60.0 [7.2] vs 55.9 [6.6]; P = .007) and the postoperative HIT score was significantly lower than those who underwent blepharoplasty (42.3 [9.3] vs 46.4 [9.0]; P = .03). The mean (SD) decline in the HIT score was significantly higher in patients who underwent ptosis repair than in those who underwent blepharoplasty (17.8 [9.9] vs 9.5 [8.6]; P = .002). For patients who underwent ptosis repair, there was a statistically significant negative correlation between the results on the marginal reflex distance test 1 (median, 1.82; minimum, 1.0; maximum, 3.5) and change in the HIT score (median, 18; minimum, 0; maximum, 30) (P = .005; r =-0.645). In patients who underwent ptosis repair, the mean (SD) difference between the preoperative and postoperative HIT scores was significantly higher for the patients who underwent levator resection (3.1 [0.3]) than for those who underwent Müller muscle resection (1.5 [0.7]) and frontalis suspension procedures (1.9 [0.7]) (P = .001). CONCLUSIONS AND RELEVANCE The operations for ptosis and blepharoptosis provide significant relief for tension-type headache and result in improved headache-related quality of life. As a result, tension-type headache can be a functional indication for upper eyelid blepharoplasty and ptosis repair, especially for p...

show abstract

Improvement in Subjective Visual Function and Quality of Life Outcome Measures After Blepharoptosis Surgery

Cited by 71 publications

References 27 publications

Brow ptosis: are we measuring the right thing? The impact of surgery and the correlation of objective and subjective measures with postoperative improvement in quality-of-life

Brow ptosis: are we measuring the right thing? The impact of surgery and the correlation of objective and subjective measures with postoperative improvement in quality-of-life

Immunological and electrophysiological investigations of severe ptosis after bone marrow transplantation

Association of Upper Eyelid Ptosis Repair and Blepharoplasty With Headache-Related Quality of Life

Contact Info

Product

Resources

About