Evaluating for unrecognized deficits in perimetry associated with functional upper eyelid malposition.
| Autor: | Wang L; Department of Ophthalmology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.; Department of Ophthalmology, University of California, San Francisco, USA., Ashraf DC; Department of Ophthalmology, University of California, San Francisco, USA.; Department of Ophthalmology, Oregon Health and Science University, Portland, USA., Deiner M; Department of Ophthalmology, University of California, San Francisco, USA., Idowu OO; Department of Ophthalmology, University of California, San Francisco, USA., Grob SR; Department of Ophthalmology, University of California, San Francisco, USA., Winn BJ; Department of Ophthalmology, University of California, San Francisco, USA., Vagefi MR; Department of Ophthalmology, University of California, San Francisco, USA.; Department of Ophthalmology, Tufts Medical Center, Boston, USA., Kersten RC; Department of Ophthalmology, University of California, San Francisco, USA.; Department of Ophthalmology, University of Utah, Salt Lake City, Utah, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Advances in ophthalmology practice and research [Adv Ophthalmol Pract Res] 2024 Feb 02; Vol. 4 (1), pp. 39-44. Date of Electronic Publication: 2024 Feb 02 (Print Publication: 2024). |
| DOI: | 10.1016/j.aopr.2024.01.007 |
| Abstrakt: | Objective: To 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. Methods: In 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. Results: The 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 patients with ptosis, the margin reflex distance-1 was not associated with change in mean deviation after surgery (Pearson R 2 = 0.0061; P = 0.700). Five of 17 eyes excluded from analysis due to unreliable pre-operative visual fields demonstrated substantial improvement after surgery. Conclusions: Functional 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. Competing Interests: Dr. Oluwatobi O. Idowu became employed by AbbVie Inc. as a Medical Science Liaison during the period of manuscript preparation. The other authors have no disclosures that might influence this work. |
| Databáze: | MEDLINE |
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