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FACE-Q eye module for measuring patient-reported outcomes in blepharoplasty surgery: A validation study
Wanlin Fan1, Weiwei Dai2, Christoph Bechtloff1
1Department of Ophthalmology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, 50937, Germany.
Summary
The German FACE-Q Eye Module is a reliable tool for assessing blepharoplasty outcomes. It effectively measures patient satisfaction and well-being after eyelid surgery.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Health Outcomes Research
Background:
- Patient-reported outcome measures (PROMs) are crucial for evaluating surgical success.
- The FACE-Q Eye Module assesses patient perspectives on aesthetic and functional outcomes.
- Linguistic validation is essential for cross-cultural application of PROMs.
Purpose of the Study:
- To linguistically validate the FACE-Q Eye Module scales in German.
- To evaluate the reliability and validity of the German version in blepharoplasty patients.
- To assess the tool's utility in measuring outcomes like satisfaction and well-being.
Main Methods:
- Translation of FACE-Q Eye Module from English to German following international guidelines.
- Psychometric testing administered to patients with and without blepharoplasty history, and control subjects.
- Analysis of internal consistency (Cronbach's alpha) and reliability (intraclass correlation coefficients).
Main Results:
- Most subscales demonstrated acceptable internal consistency (Cronbach's alpha: 0.75–0.97).
- High intraclass correlation coefficients (0.70–0.92) indicated good reliability.
- The German version showed good discriminability between patient groups and controls (p < 0.05).
Conclusions:
- The German FACE-Q Eye Module is a validated and effective tool for assessing outcomes after blepharoplasty.
- The tool accurately measures patient satisfaction, psychological well-being, and functional recovery.
- This validated instrument supports outcome assessment in German-speaking populations undergoing eyelid surgery.

