Long term patient-reported benefit from ptosis surgery

Maycock, Nick; MacGregor, Cheryl; Saunders, D.; Parkin, Ben

doi:10.1038/eye.2015.54

Cited by 11 publications

(13 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This patient-reported scale measures post-operative change in general and psychosocial well-being, as well as support and physical function. It was originally validated for use in otorhinolaryngological patients and although its use in ptosis surgery has been reported, [30][31][32] validity data in the currently studied population is limited. Despite the risk of response bias inherent in its design, the GBI is a generic and translatable instrument that can measure both positive and negative impact (scored from +100 to − 100) across a range of procedures; 32,33 it has been shown to correlate with both markers of surgical success [34][35][36] and quality of life.…”

Section: Discussionmentioning

confidence: 99%

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Schulz

Nicholson

Penwarden

et al. 2017

Eye

Self Cite

View full text Add to dashboard Cite

PurposeAnterior approach white line advancement presents a novel surgical option for correction of blepharoptosis. The technique draws on several advantages of other approaches. The aim of this study was to present outcomes using this technique at a minimum follow-up of 18 months.Patients and methodsParticipants having undergone anterior approach white line advancement ptosis correction at a single institution were retrospectively recruited at a minimum of 18 months' follow-up. A total of 18 independent eyelid measurements were recorded at final review. Outcomes included long-term rate of surgical success, upper eyelid margin-reflex distance (MRD1) at both early and late post-operative follow-up, inter-eyelid asymmetry, complications, re-operation rate, patient satisfaction, and quality-of-life improvement using the Glasgow Benefit Inventory (GBI). Pre- and post-operative MRD1, as well as inter-eyelid asymmetry, were compared using a two-tailed t-test.ResultsIn total, 82 eyelids of 47 participants were included with a mean follow-up of 2.3 years (range 1.5-3.7). Surgical success was achieved in 91.5%, with a final mean MRD1 of 3.5 mm (95% confidence 3.2-3.7). An increase of 2.4 mm (2.1-2.8) in eyelid height was observed between baseline and long-term follow-up (P<0.0001). No significant change was observed between early and late post-operative follow-up. Pre-operative asymmetry was reduced from 1.0 mm (0.7-1.3) to 0.4 mm (0.3-0.5; P<0.0001). Patient satisfaction was 95.7% with a mean GBI score of +21.8 (13.2-30.3).ConclusionsAnterior approach white line advancement presents an excellent option for patients undergoing ptosis correction with favourable long-term results. Comparisons are made with other techniques with respect to anatomical, functional, and surgical factors.

show abstract

Section: Discussionmentioning

confidence: 99%

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Schulz

Nicholson

Penwarden

et al. 2017

Eye

Self Cite

View full text Add to dashboard Cite

show abstract

“…The GBI, originally developed by Robinson et al 13 for assessment of patient outcomes following otorhinolaryngological procedures, has been validated for use following oculoplastic procedures, including DCR, 1,2,6,7,10 ptosis, 14,15 ectropion and entropion surgery, 5 and botulinum toxin for blepharospasm. 16 As described in detail elsewhere, 5 it is a post-interventional questionnaire, consisting of 18 questions with responses scored on a five-point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

Assessment of patient-reported outcome and quality of life improvement following surgery for epiphora

Sipkova

Vonica

Olurin

et al. 2017

Eye

View full text Add to dashboard Cite

PurposeTo assess and compare the subjective improvement in symptoms and quality of life in adult patients who underwent commonly performed oculoplastic surgical interventions to treat epiphora.Materials and methodsA prospective study was undertaken involving all adult patients undergoing dacryocystorhinostomy (DCR), lid tightening (lateral tarsal strip or lateral wedge resection), and punctoplasty surgery at our institution. We assessed severity of epiphora preoperatively using the Munk score. At 3 months postoperatively, all patients were sent postal questionnaires comprising of Munk score, 'social impact score' from validated Lac-Q questionnaire ranging from 0 (no impact) to 5 (maximal negative impact) and Glasgow Benefit Inventory (GBI) score, ranging from -100 (maximal detriment) to +100 (maximal benefit).ResultsA total of 134 questionnaires were sent with an overall response rate of 74.6%. For the purpose of data analysis, patients were divided into four groups: DCR, lid tightening, punctoplasty, and combined group (lid tightening plus punctoplasty). There was statistically significant improvement in subjective epiphora postoperatively, as assessed by Munk score (P<0.001) in all groups. The total GBI scores were +42.67 (95% CI: 33.42-51.91) for DCR, +19.65 (95% CI: 10.33-28.97) for lid tightening, +16.06 (95% CI: 2.65-29.48) for punctoplasty, and +26.53 (95% CI: 13.15-39.90) for the combined group, demonstrating a positive change in health status for all groups. There was negative correlation between total GBI and post-operative Munk scores (r=-0.58, P<0.001), and positive correlation between Lac-Q and Munk scores (r=0.65, P<0.001).ConclusionPatients derived significant improvement in symptoms and health-related quality of life benefit following all surgical interventions for epiphora.

show abstract

“…However, within the NHS there are widespread inconsistencies regarding access to oculoplastic surgeries, with some Clinical Commissioning Groups (CCGs) categorising ptosis repair as a ‘cosmetic’ procedure [ 10 ]. With funding restraints often resulting in many such procedures being deemed non-essential, evidence of clinical and cost effectiveness are required to justify providing patients with these services [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Patient reported psychosocial functioning following successful ptosis surgery

Richards

Jenkinson

White

et al. 2021

Eye

View full text Add to dashboard Cite

Background Ptosis may result in increased anxiety, appearance-related distress and social avoidance, and impacts visual function. Previous work demonstrates the benefits of ptosis surgery for health-related quality of life, but there is a paucity of research comparing such outcomes before and after surgery. The aim of this study was to determine potential patient benefits in health-related quality of life, social dysfunction and anxiety following successful ptosis surgery using validated measures. Methods Adult ptosis correction surgery patients completed validated measures of appearance-related social anxiety and avoidance, anxiety and depression, and fear of negative evaluation pre-surgery. Following successful surgery, these measures were repeated post-discharge in addition to another health-related quality of life measure. Results Of 61 patients recruited, follow-up measures were sent to 33 and completed by 23. Paired samples t-tests demonstrated positive significant changes in appearance-related social distress pre-op m = 30.94, post-op m = 23.67 (t(17) = 3.46, 95% CI 2.84–11.72, p = 0.003), anxiety pre-op m = 7.6, post-op m = 4.9 (t(19) = 4.27, 95% CI 1.38–4.02, p < 0.001) and fear of negative evaluation pre-op m = 34.79, post-op m = 31.26 (t(18) = 2.47, 95% CI 0.52–6.53, p = 0.024). There was no significant difference in depression scores pre-op m = 3.6; post-op m = 3.2 (t(19) = 0.672, 65% CL −0.85 to 1.65, p = 0.510). In total, 85% of patients reported positive benefit to well-being following surgery. Conclusion Increasingly, evidence suggests ptosis surgery may benefit patient’s well-being, appearance-related social anxiety and avoidance, as well as improving visual function. These psychosocial benefits should be considered alongside functional benefits in the provision of ptosis surgery.

show abstract

Long term patient-reported benefit from ptosis surgery

Cited by 11 publications

References 9 publications

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Assessment of patient-reported outcome and quality of life improvement following surgery for epiphora

Patient reported psychosocial functioning following successful ptosis surgery

Contact Info

Product

Resources

About