评估上睑下垂的关键术前和术后因素。
Critical pre- and postoperative factors in evaluating ptosis.
作者信息
Cornwell Jordan N, Smith Claire S, Lucarelli Katherine M, Sones Alexander, Rootman Daniel B
机构信息
Division of Orbital and Ophthalmic Plastic Surgery, Doheny and Stein Eye Institutes, University of California, Los Angeles, Los Angeles, CA, United States.
出版信息
Front Ophthalmol (Lausanne). 2025 Aug 4;5:1609113. doi: 10.3389/fopht.2025.1609113. eCollection 2025.
BACKGROUND
Blepharoptosis repair is a common eyelid surgery worldwide, however technique and outcome measurements vary widely.
OBJECTIVE
This study aims to determine a consensus on pre- and postoperative factors important to oculoplastic surgeons in the evaluation of ptosis.
METHODS
Oculoplastic surgeons were queried to describe 10 or more variables important for pre- and postoperative evaluation of ptosis and subsequently rate them on a 5-point Likert scale. A nominal group meeting determined a consensus on the 10 most important pre- and postoperative factors based on the previous survey responses. Mean and standard deviation for Likert score responses were compared using a student's t-test.
RESULTS
One hundred and sixty-three respondents contributed a total of 1,909 open-ended responses. The two most cited factors were levator function (91.4%) and upper marginal reflex distance (87.7%). Known secondary causes of ptosis (75.5%), health of cornea and tear film (58.9%) and brow elevation/compensation (55.2%) were reported as important by over 50% of the respondents. The final variables were categorized into four groups: Causes of Ptosis, Surgical Planning, Anatomy and Symmetry, and Ptosis-Related Quality of Life.
CONCLUSION
A cohort of ASOPRS oculoplastic surgeons reached a consensus on a critical set of variables important for ptosis evaluation.
背景
上睑下垂修复术是全球常见的眼睑手术，但技术和结果测量差异很大。
目的
本研究旨在就对眼整形医生评估上睑下垂重要的术前和术后因素达成共识。
方法
向眼整形医生询问描述对上睑下垂术前和术后评估重要的10个或更多变量，随后用5点李克特量表对这些变量进行评分。名义群体会议根据之前的调查回复，就10个最重要的术前和术后因素达成共识。使用学生t检验比较李克特评分回复的均值和标准差。
结果
163名受访者共提供了1909条开放式回复。提及最多的两个因素是提上睑肌功能（91.4%）和上睑缘反射距离（87.7%）。超过50%的受访者认为已知的上睑下垂继发原因（75.5%）、角膜和泪膜健康状况（58.9%）以及眉抬高/代偿情况（55.2%）很重要。最终变量分为四组：上睑下垂原因、手术规划、解剖结构与对称性以及与上睑下垂相关的生活质量。
结论
一组美国眼科整形与重建外科学会（ASOPRS）的眼整形医生就对上睑下垂评估重要的一组关键变量达成了共识。
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