From Addressing Aesthetics and Soft Tissue to Visual Performance: Multifaceted Satisfaction Assessment in a...

Area of Science:

• Ophthalmology
• Medical Aesthetics

Background:

• Dermatochalasis, or drooping eyelids, can affect visual performance.
• The impact of blepharoplasty on visual function is not fully understood.

Purpose of the Study:

• To determine how upper eyelid blepharoplasty affects visual performance in patients with dermatochalasis.
• To assess changes in refraction, contrast sensitivity, and visual field post-surgery.

Main Methods:

• Prospective analysis of 146 eyelids from 74 patients with dermatochalasis.
• Evaluation of visual acuity, refraction, contrast sensitivity, higher-order aberrations (HOAs), and Humphrey visual field (mean deviation index - MDI) before and up to 6 months after blepharoplasty.

Main Results:

• Significant improvements in contrast sensitivity, decreased astigmatism, and reduced HOAs were observed.
• Mean deviation index in visual field testing significantly improved post-surgery.
• Patient satisfaction with visual quality significantly increased.

Conclusions:

• Upper eyelid blepharoplasty effectively enhances visual function and quality of life.
• The procedure offers benefits beyond aesthetic improvements for patients with dermatochalasis.