Functional Indications for Upper Eyelid Ptosis and Blepharoplasty Surgery

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

“…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'.…”

“…1 Improvement in vision after cataract surgery, penetrating keratoplasty or blepharoptosis surgery, for example, is associated with enhanced functional status. 1,4,[13][14][15] In this study, we calculated a functional index score, which examined a 'weighted combined eye' visual function. This is considered a more accurate measure of binocular function.…”

Levator Function in Blepharoptosis Surgery

“…Preoperative indicators of improvement were reported as MRD 2 mm, superior visual field loss of at least 12 degrees or 24%, downgaze ptosis impairing close-work activities, a chin-up backward head tilt due to visual axis obscuration, eye discomfort, or strain due to droopy lids and central visual interference. 11 Preoperative measurements of upper eyelid heights may help in determining the amount of skin excision required in blepharoplasty for senile ptosis. 4 In this series of patients with ptosis, the preoperative LF was found to be a predictive value for the surgical outcome.…”

Objektivierbare Gesichtsfeldeinschränkung bei Patienten mit Dermatochalasis vor und nach Blepharoplastik-Operation

“…Das Ausmaß der Verbesserung des superioren Gesichtsfeldes lag in etwa bei 10°. Diese Ergebnisse lassen sich gut mit anderen Studien in der Literatur vergleichen [15,16].…”