Impact of blepharoptosis surgery on vision-related quality of life and its correlation with contrast sensitivity changes.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

International Ophthalmology Pub Date : 2025-05-09 DOI:10.1007/s10792-025-03563-w

M C Bruzual-Lezama, P Peña-Urbina, C Berrozpe-Villabona, N Ibáñez-Flores

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Abstract

Purpose: To investigate the correlation between contrast sensitivity changes and post-surgical improvement in visual function perception and health-related quality of life among patients with blepharoptosis.

Methods: This prospective cohort studied 55 patients with blepharoptosis surgical indication, one eye per patient was considered for analysis. Refraction, visual acuity (VA), eyelash ptosis and contrast sensitivity (CS) test were evaluated. The National Eye Institute Visual Functioning Questionnaire-25 (NEI-VFQ25), concerning vision-related activities and symptoms, was used to assess the patient´s quality of life pre and postoperatively. Patients were analyzed globally and divided according to the severity of ptosis, lens opacity and the co-existence of glaucoma.

Results: 55 eyes underwent ptosis surgery. VA significantly improved without notable refractive changes (p = 0.0044). CS demonstrated significant enhancement in all patients and groups. The NEI-VFQ 25 overall score significantly improved from baseline to 3 months postoperatively (p < 0.001). General vision (p = 0.0319), near and peripheral vision (p < 0.001 and p = 0.0188, respectively), color vision (0.0177), ocular pain (p < 0.001), dependence (p = 0.0093) and mental health (p = 0.0341) exhibited significant improvement. All groups experienced a significant increase in the overall score postoperatively. They all concurred on the improvement of the subscale near vision, except for the glaucoma group, which showed no improvement in either of the subscales.

Conclusion: Ptosis surgery significantly improves contrast sensitivity, visual function, and quality of life in patients, including those with ocular comorbidities such as lens opacity and glaucoma. NEI-VFQ 25 assessment revealed an important enhancement in near and peripheral vision, ocular pain, and dependence; which highlight the broad benefits of the surgery, increasing autonomy in daily activities.

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上睑下垂手术对视力相关生活质量的影响及其与对比敏感度变化的相关性。

目的：探讨上睑下垂患者对比敏感度变化与术后视功能知觉改善及健康相关生活质量的相关性。方法：本前瞻性队列研究55例上睑下垂患者的手术指征，每位患者一只眼进行分析。进行屈光、视力（VA）、睫毛下垂、对比敏感度（CS）测试。采用美国国家眼科研究所视觉功能问卷-25 (NEI-VFQ25)，评估患者术前和术后的生活质量，该问卷涉及视力相关活动和症状。对患者进行整体分析，并根据上睑下垂、晶状体混浊和青光眼共存的严重程度进行分类。结果：55只眼行上睑下垂手术。VA明显改善，无明显屈光变化（p = 0.0044）。CS在所有患者和组中均有显著增强。从基线到术后3个月，NEI-VFQ 25总评分显著提高(p结论：上睑下垂手术显著改善了患者的对比敏感度、视觉功能和生活质量，包括那些有晶状体混浊和青光眼等眼部合并症的患者。NEI-VFQ 25评估显示近周视力、眼痛和依赖性显著增强；这突出了手术的广泛好处，增加了日常活动的自主权。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

451

期刊介绍： International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.