Pemberton John D, Salter Michael, Fay Aaron, Thuro Bradley, Spencer Horace, Dajani Omar
a College of Medicine , University of Arkansas for Medical Sciences , Little Rock , Arkansas , USA.
b Department of Ophthalmology , University of Arkansas for Medical Sciences , Little Rock , Arkansas , USA.
Orbit. 2018 Feb;37(1):48-52. doi: 10.1080/01676830.2017.1353115. Epub 2017 Aug 16.
To determine if preoperative Goldmann Visual Field (GVF) testing in patients with functional dermatochalasis accurately depicts the postoperative superior visual field (SVF) outcome.
A prospective cohort study was done to compare preoperative and postoperative GVF field tests in patients undergoing upper eyelid blepharoplasty for treatment of dermatochalasis. This study was conducted in accordance with the Declaration of Helsinki and approved by the University of Arkansas for Medical Sciences institutional review board. A preoperative GVF was obtained with the eyelids in the natural position (untaped) and then again with excess skin elevated (taped). One month post-blepharoplasty, another GVF was conducted with eyelids untaped. The pre- and post GVF tests were analyzed to determine if preoperative testing accurately predicts the SVF improvement post-blepharoplasty.
Forty-six eyelids (23 patients) who underwent blepharoplasty for dermatochalasis were included. The preoperative testing underestimated 76% (35/46) of cases by a mean of 61%; and overestimated the final outcome in 24% (11/46) of cases by mean of 23%. Overall, the preoperative GVF testing underestimated the postoperative outcome by a mean of 35%.
Improvement of the SVF after a blepharoplasty is typically greater than the preoperative GVF testing predicts.
确定功能性皮肤松弛症患者术前的Goldmann视野（GVF）测试能否准确描绘术后上半视野（SVF）结果。
进行一项前瞻性队列研究，比较接受上睑成形术治疗皮肤松弛症患者的术前和术后GVF视野测试。本研究按照《赫尔辛基宣言》进行，并获得阿肯色大学医学科学机构审查委员会的批准。在眼睑处于自然位置（未粘贴）时获取术前GVF，然后在提起多余皮肤（粘贴）时再次获取。上睑成形术后1个月，在眼睑未粘贴的情况下进行另一次GVF测试。分析术前和术后GVF测试，以确定术前测试是否能准确预测上睑成形术后SVF的改善情况。
纳入了46只眼睑（23例患者），这些患者接受了治疗皮肤松弛症的上睑成形术。术前测试低估了76%（35/46）的病例，平均低估61%；高估了24%（11/46）病例的最终结果，平均高估23%。总体而言，术前GVF测试平均低估术后结果35%。
上睑成形术后SVF的改善通常大于术前GVF测试的预测结果。
