Pociej-Marciak Weronika, Romanowska-Dixon Bożena, Żuber-Łaskawiec Katarzyna, Globočnik Petrovič Mojca, Karska-Basta Izabella
Division of Ophthalmology and Ocular Oncology, Department of Ophthalmology, Faculty of Medicine, Jagiellonian University Medical College, 31-501 Kraków, Poland.
Department of Ophthalmology and Ocular Oncology, University Hospital, 31-501 Kraków, Poland.
J Clin Med. 2022 Apr 12;11(8):2141. doi: 10.3390/jcm11082141.
We aimed to assess the cosmetic outcome of patients who underwent enucleation for uveal melanoma. The subjective assessment was based on a questionnaire, including four questions on postoperative cosmetic outcome. As part of the objective assessment, the following features were evaluated using a four-point scale: the symmetry of the upper eyelid sulcus, color matching between the prosthetic and healthy eye, prosthetic eye motility, and eyelid position. We enrolled 90 patients after enucleation (58 with and 32 without an orbital implant). The overall subjective assessment scores were 3.5/4 and 3.3/4 points in patients with and without an implant, respectively. The overall objective assessment scores were 3.3/4 and 2.3/4 in patients with and without an implant, respectively (p < 0.001). The cosmetic outcome was rated significantly higher by patients than by investigators (p < 0.05). There was no significant association between the overall subjective and objective assessment of the cosmetic outcome in any of the groups. Cosmetic outcome after enucleation for uveal melanoma was highly rated by patients. It was rated higher by patients than by investigators. The presence of an orbital implant was associated with higher objective assessment scores in terms of the symmetry of the upper lid sulcus, prosthetic eye motility, and eyelid position.
我们旨在评估因葡萄膜黑色素瘤而接受眼球摘除术的患者的美容效果。主观评估基于一份问卷，其中包括四个关于术后美容效果的问题。作为客观评估的一部分，使用四点量表对以下特征进行评估：上睑沟的对称性、义眼与健眼的颜色匹配度、义眼活动度以及眼睑位置。我们纳入了90例眼球摘除术后的患者（58例植入了眼眶植入物，32例未植入）。植入和未植入眼眶植入物的患者的总体主观评估得分分别为3.5/4分和3.3/4分。植入和未植入眼眶植入物的患者的总体客观评估得分分别为3.3/4分和2.3/4分（p<0.001）。患者对美容效果的评分显著高于研究者（p<0.05）。在任何一组中，美容效果的总体主观评估与客观评估之间均无显著关联。因葡萄膜黑色素瘤进行眼球摘除术后的美容效果在患者中获得了高度评价。患者的评分高于研究者。眼眶植入物的存在与上睑沟对称性、义眼活动度和眼睑位置方面更高的客观评估得分相关。
