Centre for Appearance Research, University of the West of England, Bristol, UK.
Bristol Eye Hospital, Bristol, UK.
Eye (Lond). 2022 Aug;36(8):1651-1655. doi: 10.1038/s41433-021-01685-w. Epub 2021 Jul 29.
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.
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.
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.
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.
上睑下垂可能会导致焦虑增加、与外貌相关的痛苦和社会回避，并影响视觉功能。先前的工作表明上睑下垂手术对健康相关生活质量有益，但比较手术前后这些结果的研究很少。本研究旨在使用经过验证的措施确定成功的上睑下垂手术后健康相关生活质量、社会功能障碍和焦虑方面的潜在患者益处。
成年上睑下垂矫正手术患者在手术前完成与外貌相关的社交焦虑和回避、焦虑和抑郁以及对负面评价的恐惧的经过验证的措施。成功手术后，除了另一个健康相关生活质量措施外，在出院后还重复这些措施。
在招募的 61 名患者中，向 33 名患者发送了随访措施，其中 23 名患者完成了这些措施。配对样本 t 检验显示，术前外观相关社会困扰 m=30.94，术后 m=23.67（t(17)=3.46，95%CI 2.84-11.72，p=0.003），术前焦虑 m=7.6，术后 m=4.9（t(19)=4.27，95%CI 1.38-4.02，p<0.001）和对负面评价的恐惧 m=34.79，术后 m=31.26（t(18)=2.47，95%CI 0.52-6.53，p=0.024）有显著的阳性变化。术前抑郁评分 m=3.6，术后 m=3.2（t(19)=0.672，95%CL-0.85 至 1.65，p=0.510）无显著差异。总的来说，85%的患者报告手术后对幸福感有积极的益处。
越来越多的证据表明，上睑下垂手术可能有益于患者的幸福感、与外貌相关的社交焦虑和回避，以及改善视觉功能。在提供上睑下垂手术时，应将这些心理社会益处与功能益处一起考虑。
