PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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 R2 = 0.0061; P = 0.700). Five of 17 eyes excluded from analysis due to unreliable pre-operative visual fields demonstrated substantial improvement after surgery.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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 R2 = 0.0061; P = 0.700). Five of 17 eyes excluded from analysis due to unreliable pre-operative visual fields demonstrated substantial improvement after surgery.
UNASSIGNED: 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.
摘要：
■通过检查在青光眼视野测试期间未被确定为需要眼睑贴膜的眼睑手术患者，调查青光眼患者中功能性上眼睑错位是否与自动视野检查中未识别的缺陷相关。
■在这项回顾性研究中，在2012年1月至2020年3月期间,我们使用自动数据库搜索和手动图表回顾来确定符合条件的患者.纳入的患者在功能性上眼睑成形术或上眼睑修复之前和之后的两年内进行了可靠的视野测试，并且没有并发眼部诊断。作为常规练习的一部分，青光眼视野技术人员对患有瞳孔阻塞的眼睑错位的患者进行了录音；录音检查被排除在分析之外。临床和人口统计学特征，平均偏差，和模式标准差在眼睑手术前后的两年内进行评估。
■最终分析包括38例患者的60只眼。眼睑手术后视野参数的变化在粗略或调整后的分析中未达到统计学意义。上睑下垂患者中,边缘反射距离-1与手术后平均偏差的变化无关(PearsonR2=0.0061；P=0.700)。由于不可靠的术前视野而被排除在分析之外的17只眼中的5只眼在手术后表现出实质性改善。
■功能性上眼睑错位在具有可靠视野的青光眼患者中似乎不会引起假性视野异常，这些患者被确定为在视野时不需要进行眼睑拍打。不可靠的视野可能是该人群眼睑干扰的迹象。
■在这项回顾性研究中，在2012年1月至2020年3月期间,我们使用自动数据库搜索和手动图表回顾来确定符合条件的患者.纳入的患者在功能性上眼睑成形术或上眼睑修复之前和之后的两年内进行了可靠的视野测试，并且没有并发眼部诊断。作为常规练习的一部分，青光眼视野技术人员对患有瞳孔阻塞的眼睑错位的患者进行了录音；录音检查被排除在分析之外。临床和人口统计学特征，平均偏差，和模式标准差在眼睑手术前后的两年内进行评估。
■最终分析包括38例患者的60只眼。眼睑手术后视野参数的变化在粗略或调整后的分析中未达到统计学意义。上睑下垂患者中,边缘反射距离-1与手术后平均偏差的变化无关(PearsonR2=0.0061；P=0.700)。由于不可靠的术前视野而被排除在分析之外的17只眼中的5只眼在手术后表现出实质性改善。
■功能性上眼睑错位在具有可靠视野的青光眼患者中似乎不会引起假性视野异常，这些患者被确定为在视野时不需要进行眼睑拍打。不可靠的视野可能是该人群眼睑干扰的迹象。
