Orlando Eye and Oculoplastics, LLC, Orlando, Florida 32819, U.S.A.
Ophthalmic Plast Reconstr Surg. 2011 May-Jun;27(3):152-4. doi: 10.1097/IOP.0b013e3181eea7d7.
To prospectively study patients' postoperative experience with blepharoplasty and to determine how closely patients' expectations compare with their actual experience.
A prospective observational study of 51 consecutive patients undergoing bilateral upper eyelid blepharoplasty by a single surgeon (J.A.L.) between October 2008 and May 2009 was performed. Prior to surgery, patients were asked to rate, on a scale of 1 to 10, their expectations of pain, swelling, bruising, blurred vision, impairment of ability to function in daily activities, and itching. Patients were then asked to rate these 6 elements at 7 time points: 30 minutes, 4 hours, 24 hours, 2 days, 3 days, 1 week, and 2 months. The number of pain pills utilized was also assessed. An analysis of the data was performed to determine our patients' experience with blepharoplasty surgery. The paired t test was used to determine the statistical significance of patients' expectations compared with their actual reported experience.
In this cohort of patients, the authors found the following: blurred vision and impairment in ability to function peaked in the immediate postoperative period, pain peaked at 4 hours, swelling and bruising peaked at 24 hours, and itching peaked at 3 days. The mean number of narcotic pain pills used by patients in the postoperative period was 2.45. Patients underestimated the degree of swelling, blurred vision, and impairment in ability to function experienced following surgery.
Postoperative patient experience with blepharoplasty is based largely on anecdotal evidence; the data from this study will facilitate more objectively based preoperative counseling.
前瞻性研究患者行重睑成形术后的体验，并确定患者的期望与实际体验的吻合程度。
对 2008 年 10 月至 2009 年 5 月间由同一位外科医生（J.A.L.）施行双侧上睑成形术的 51 例连续患者进行前瞻性观察性研究。术前，患者需在 1 到 10 的范围内对疼痛、肿胀、瘀斑、视力模糊、日常活动能力受损以及瘙痒的预期程度进行评分。然后，患者需在 7 个时间点对这 6 个要素进行评分：术后 30 分钟、4 小时、24 小时、2 天、3 天、1 周和 2 个月。还评估了止痛药的使用数量。对数据进行分析以确定患者对上睑成形术的体验。采用配对 t 检验比较患者的预期与实际报告体验的统计学意义。
在这组患者中，作者发现：视力模糊和日常活动能力受损在术后即刻达到高峰，疼痛在 4 小时达到高峰，肿胀和瘀斑在 24 小时达到高峰，瘙痒在 3 天达到高峰。患者在术后期间使用麻醉性止痛药的平均数量为 2.45 片。患者低估了术后肿胀、视力模糊和日常活动能力受损的程度。
重睑成形术后患者的体验主要基于传闻证据；本研究的数据将促进更基于客观的术前咨询。
