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Article: Functional indications for upper eyelid ptosis and blepharoplasty surgery: a report by the American Academy of Ophthalmology
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TitleFunctional indications for upper eyelid ptosis and blepharoplasty surgery: a report by the American Academy of Ophthalmology
 
AuthorsCahill, KV
Bradley, EA2
Meyer, DR3
Custer, PL6
Holck, DE5
Marcet, MM4
Mawn, LA1
 
Issue Date2011
 
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ophtha
 
CitationOphthalmology, 2011, v. 118 n. 12, p. 2510-2517 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.ophtha.2011.09.029
 
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.
 
ISSN0161-6420
2013 Impact Factor: 6.170
 
DOIhttp://dx.doi.org/10.1016/j.ophtha.2011.09.029
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorCahill, KV
 
dc.contributor.authorBradley, EA
 
dc.contributor.authorMeyer, DR
 
dc.contributor.authorCuster, PL
 
dc.contributor.authorHolck, DE
 
dc.contributor.authorMarcet, MM
 
dc.contributor.authorMawn, LA
 
dc.date.accessioned2012-09-20T08:50:39Z
 
dc.date.available2012-09-20T08:50:39Z
 
dc.date.issued2011
 
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.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationOphthalmology, 2011, v. 118 n. 12, p. 2510-2517 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.ophtha.2011.09.029
 
dc.identifier.citeulike9971798
 
dc.identifier.doihttp://dx.doi.org/10.1016/j.ophtha.2011.09.029
 
dc.identifier.epage2517
 
dc.identifier.hkuros210340
 
dc.identifier.issn0161-6420
2013 Impact Factor: 6.170
 
dc.identifier.issue12
 
dc.identifier.pmid22019388
 
dc.identifier.scopuseid_2-s2.0-82755177901
 
dc.identifier.spage2510
 
dc.identifier.urihttp://hdl.handle.net/10722/166836
 
dc.identifier.volume118
 
dc.languageeng
 
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ophtha
 
dc.publisher.placeUnited States
 
dc.relation.ispartofOphthalmology
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAcademies and Institutes - organization and administration
 
dc.subject.meshBlepharoptosis - physiopathology - surgery
 
dc.subject.meshEyelids - physiology
 
dc.subject.meshVision, Ocular - physiology
 
dc.subject.meshVisual Acuity - physiology
 
dc.titleFunctional indications for upper eyelid ptosis and blepharoplasty surgery: a report by the American Academy of Ophthalmology
 
dc.typeArticle
 
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<contributor.author>Custer, PL</contributor.author>
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<contributor.author>Mawn, LA</contributor.author>
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<description.abstract>OBJECTIVE: 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&apos;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.</description.abstract>
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Author Affiliations
  1. Vanderbilt Eye Institute
  2. Mayo Clinic
  3. Albany Medical College
  4. The University of Hong Kong
  5. Aesthetic
  6. Washington University in St. Louis School of Medicine