Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition

Linyan Wang; Davin C. Ashraf; Michael Deiner; Oluwatobi O. Idowu; Seanna R. Grob; Bryan J. Winn; M Reza Vagefi; Robert C. Kersten

doi:10.1016/j.aopr.2024.01.007

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Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition

Full Length Article | 更新时间：2024-05-29

- Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition
- Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition
- 眼科实践与研究新进展 2024年4卷第1期页码：39-44
- 作者机构：
  
  1. ,Hangzhou,China
  2. ,San Francisco,USA
  3. Department of Ophthalmology, Oregon Health and Science University,Portland,USA
  4. Department of Ophthalmology, Tufts Medical Center,Boston,USA
  5. Department of Ophthalmology, University of Utah,Utah,Salt Lake City,USA
- 作者简介：
- 基金信息：
- DOI：10.1016/j.aopr.2024.01.007
  中图分类号：
- 纸质出版日期：2024，
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Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition[J]. 眼科实践与研究新进展, 2024,4(1):39-44.

Linyan Wang, Davin C. Ashraf, Michael Deiner, et al. Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition[J]. AOPR, 2024,4(1):39-44.
Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition[J]. 眼科实践与研究新进展, 2024,4(1):39-44. DOI： 10.1016/j.aopr.2024.01.007.

Linyan Wang, Davin C. Ashraf, Michael Deiner, et al. Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition[J]. AOPR, 2024,4(1):39-44. DOI： 10.1016/j.aopr.2024.01.007.

摘要

Abstract

ObjectiveTo investigate whether functional upper eyelid malposition is associated with unrecognized deficits in automated perimetry among glaucoma patients by examining patients undergoing eyelid surgery who had not been identified as requiring eyelid taping during glaucoma field testing.MethodsIn this retrospective pre-post study

an automated database search followed by manual chart review was used to identify eligible patients from January 2012 to March 2020. Included patients had reliable visual field testing within two years before and after functional upper blepharoplasty or ptosis repair and no comorbid ocular diagnoses. As part of routine practice

glaucoma visual field technicians taped patients with pupil-obstructing eyelid malposition; taped examinations were excluded from analysis. Clinical and demographic characteristics

mean deviation

and pattern standard deviation were evaluated within a two year period before and after eyelid surgery.ResultsThe final analysis included 60 eyes of 38 patients. Change in visual field parameters after eyelid surgery did not reach statistical significance in crude or adjusted analyses. Among patie

nts with ptosis

the margin reflex distance-1 was not associated with change in mean deviation after surgery (Pearson R

= 0.0061;

= 0.700). Five of 17 eyes excluded from analysis due to unreliable pre-operative visual fields demonstrated substantial improvement after surgery.ConclusionsFunctional upper eyelid malposition does not appear to cause spurious visual field abnormalities among glaucoma patients with reliable visual fields who were determined not to require eyelid taping at the time of their visual fields. Unreliable visual fields could be a sign of eyelid interference in this population.

关键词

Keywords

Visual fieldPtosisDermatochalasisGlaucomaPerimetryVisually significant

references

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