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Article: Functional indications for upper eyelid ptosis and blepharoplasty surgery: a report by the American Academy of Ophthalmology

TitleFunctional indications for upper eyelid ptosis and blepharoplasty surgery: a report by the American Academy of Ophthalmology
Authors
Issue Date2011
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ophtha
Citation
Ophthalmology, 2011, v. 118 n. 12, p. 2510-2517 How to Cite?
AbstractOBJECTIVE: To evaluate the functional indications and outcomes for blepharoplasty and blepharoptosis repair by assessing functional preoperative impairment and surgical results. METHODS: Literature searches of the PubMed and Cochrane Library databases were conducted on July 24, 2008, with no age or date restrictions, and they were limited to articles published in English. These searches retrieved 1147 citations; 87 studies were reviewed in full text, and 13 studies met inclusion criteria and were included in the evidence analysis. RESULTS: The 13 studies reported the functional effects or treatment results of simulated ptosis; several types of blepharoptosis repair, including conjunctiva-Muller's muscle resection, frontalis suspension, and external levator resection; and upper eyelid blepharoplasty. CONCLUSIONS: Repair of blepharoptosis and upper eyelid dermatochalasis provides significant improvement in vision, peripheral vision, and quality of life activities. Preoperative indicators of improvement include margin reflex distance 1 (MRD(1)) of 2 mm or less, superior visual field loss of at least 12 degrees or 24%, down-gaze ptosis impairing reading and other close-work activities, a chin-up backward head tilt due to visual axis obscuration, symptoms of discomfort or eye strain due to droopy lids, central visual interference due to upper eyelid position, and patient self-reported functional impairment. FINANCIAL DISCLOSURE(S): The author(s) have no proprietary or commercial interest in any materials discussed in this article.
Persistent Identifierhttp://hdl.handle.net/10722/166836
ISSN
2014 Impact Factor: 6.135
2014 SCImago Journal Rankings: 3.732
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCahill, KVen_HK
dc.contributor.authorBradley, EAen_HK
dc.contributor.authorMeyer, DRen_HK
dc.contributor.authorCuster, PLen_HK
dc.contributor.authorHolck, DEen_HK
dc.contributor.authorMarcet, MMen_HK
dc.contributor.authorMawn, LAen_HK
dc.date.accessioned2012-09-20T08:50:39Z-
dc.date.available2012-09-20T08:50:39Z-
dc.date.issued2011en_HK
dc.identifier.citationOphthalmology, 2011, v. 118 n. 12, p. 2510-2517en_HK
dc.identifier.issn0161-6420en_HK
dc.identifier.urihttp://hdl.handle.net/10722/166836-
dc.description.abstractOBJECTIVE: To evaluate the functional indications and outcomes for blepharoplasty and blepharoptosis repair by assessing functional preoperative impairment and surgical results. METHODS: Literature searches of the PubMed and Cochrane Library databases were conducted on July 24, 2008, with no age or date restrictions, and they were limited to articles published in English. These searches retrieved 1147 citations; 87 studies were reviewed in full text, and 13 studies met inclusion criteria and were included in the evidence analysis. RESULTS: The 13 studies reported the functional effects or treatment results of simulated ptosis; several types of blepharoptosis repair, including conjunctiva-Muller's muscle resection, frontalis suspension, and external levator resection; and upper eyelid blepharoplasty. CONCLUSIONS: Repair of blepharoptosis and upper eyelid dermatochalasis provides significant improvement in vision, peripheral vision, and quality of life activities. Preoperative indicators of improvement include margin reflex distance 1 (MRD(1)) of 2 mm or less, superior visual field loss of at least 12 degrees or 24%, down-gaze ptosis impairing reading and other close-work activities, a chin-up backward head tilt due to visual axis obscuration, symptoms of discomfort or eye strain due to droopy lids, central visual interference due to upper eyelid position, and patient self-reported functional impairment. FINANCIAL DISCLOSURE(S): The author(s) have no proprietary or commercial interest in any materials discussed in this article.en_HK
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ophthaen_HK
dc.relation.ispartofOphthalmologyen_HK
dc.subject.meshAcademies and Institutes - organization and administrationen_HK
dc.subject.meshBlepharoptosis - physiopathology - surgeryen_HK
dc.subject.meshEyelids - physiologyen_HK
dc.subject.meshVision, Ocular - physiologyen_HK
dc.subject.meshVisual Acuity - physiologyen_HK
dc.titleFunctional indications for upper eyelid ptosis and blepharoplasty surgery: a report by the American Academy of Ophthalmologyen_HK
dc.typeArticleen_HK
dc.identifier.emailCahill, KV: kcahill@columbus.rr.comen_HK
dc.identifier.emailMarcet, MM: marcet@hku.hk-
dc.identifier.authorityMarcet, MM=rp01363en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ophtha.2011.09.029en_HK
dc.identifier.pmid22019388-
dc.identifier.scopuseid_2-s2.0-82755177901en_HK
dc.identifier.hkuros210340en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-82755177901&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume118en_HK
dc.identifier.issue12en_HK
dc.identifier.spage2510en_HK
dc.identifier.epage2517en_HK
dc.identifier.isiWOS:000298138000031-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridMawn, LA=6701407030en_HK
dc.identifier.scopusauthoridMarcet, MM=8891087900en_HK
dc.identifier.scopusauthoridHolck, DE=6701359013en_HK
dc.identifier.scopusauthoridCuster, PL=7003470631en_HK
dc.identifier.scopusauthoridMeyer, DR=7403572194en_HK
dc.identifier.scopusauthoridBradley, EA=35239575400en_HK
dc.identifier.scopusauthoridCahill, KV=7005074291en_HK
dc.identifier.citeulike9971798-

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