Niforos François, Liew Steven, Acquilla Raj, Ogilvie Patricia, Safa Marva, Signorini Massimo, Jones Derek, Hawthorn Jan, Collins Caroline, Kerson Graeme, Sithamparanathan Myooran
*Centre Chirurgical Niforos, Lyon, France; †Shape Clinic, Sydney, Australia; ‡The Gatehouse, Cheshire, United Kingdom; §Skin Concept, Munich, Germany; ‖La Jouvence, Neuchâtel, Switzerland; ¶Private Practice, Milano, Italy; #Division of Dermatology, University of California at Los Angeles, Los Angeles, California; **Collins Therapeutic Consulting Ltd, Gloucestershire, United Kingdom; ††Surrey, United Kingdom; ‡‡Allergan plc, Marlow, United Kingdom.
Dermatol Surg. 2017 May;43(5):684-691. doi: 10.1097/DSS.0000000000001088.
The eyes are particularly important aesthetic features of the face and revitalization of the infraorbital region has become a focus of aesthetic treatments. Published infraorbital scales to date have limitations in that they have been descriptive, subjective, or have used computer-generated images. Thus, there is an unmet need for a validated scale based on actual images.
To develop a practical photonumeric scale that respects the complex anatomy and age-related changes occurring in the orbital area.
The Allergan Infra-oRbital Scale (AIRS) was developed through a multistep process in collaboration with 16 physicians (plastic surgeons, dermatologists, and aesthetic physicians). Scale development involved both online photographs and live assessments of subjects. Interrater and intrarater reliability was assessed using intraclass correlation coefficients (ICCs).
The final AIRS showed intrarater and interrater ICCs of 0.78 to 0.86 and 0.91 to 0.98 for live validation and 0.76 to 0.82 and 0.86 to 0.91 for online validation, respectively, demonstrating robust validity.
The AIRS can be considered a photonumeric scale that accurately describes volume loss in the infraorbital region. It has been validated and is appropriate for use in research or for everyday clinical use for both live and photographic assessment.
眼睛是面部特别重要的美学特征，眶下区域的年轻化已成为美学治疗的一个焦点。迄今为止，已发表的眶下量表存在局限性，因为它们是描述性的、主观的，或者使用了计算机生成的图像。因此，迫切需要一种基于实际图像的经过验证的量表。
开发一种实用的数字量表，该量表考虑到眼眶区域复杂的解剖结构和与年龄相关的变化。
爱力根眶下量表（AIRS）是通过与16名医生（整形外科医生、皮肤科医生和美容医生）合作的多步骤过程开发的。量表开发涉及在线照片和对受试者的现场评估。使用组内相关系数（ICC）评估评分者间和评分者内的可靠性。
最终的AIRS在现场验证中评分者内和评分者间的ICC分别为0.78至0.86和0.91至0.98，在线验证中为0.76至0.82和0.86至0.91，显示出强大的有效性。
AIRS可被视为一种数字量表，能够准确描述眶下区域的容积丢失。它已经过验证，适用于研究或日常临床中对活体和照片的评估。
