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Critical pre- and postoperative factors in evaluating ptosis.
Jordan N Cornwell1, Claire S Smith1, Katherine M Lucarelli1
1Division of Orbital and Ophthalmic Plastic Surgery, Doheny and Stein Eye Institutes, University of California, Los Angeles, Los Angeles, CA, United States.
Frontiers in Ophthalmology
|August 20, 2025
Summary
Oculoplastic surgeons reached a consensus on key factors for evaluating blepharoptosis (droopy eyelid). Levator function and marginal reflex distance are crucial for assessing ptosis before and after surgery.
Area of Science:
- Ophthalmology
- Oculoplastics
- Surgical Evaluation
Background:
- Blepharoptosis repair is a frequent global eyelid surgery.
- Techniques and outcome assessments for blepharoptosis vary significantly worldwide.
Purpose of the Study:
- To establish a consensus among oculoplastic surgeons regarding critical pre- and postoperative factors in ptosis evaluation.
- To identify and prioritize variables essential for consistent ptosis assessment.
Main Methods:
- Oculoplastic surgeons were surveyed on important pre- and postoperative ptosis evaluation variables.
- A nominal group meeting was conducted to achieve consensus on the top 10 factors.
- Statistical analysis, including student's t-test, was used to compare Likert scale responses.
Main Results:
- 163 surgeons provided 1,909 responses, highlighting levator function (91.4%) and upper marginal reflex distance (87.7%) as paramount.
- Secondary causes of ptosis (75.5%), corneal health (58.9%), and brow position (55.2%) were also highly rated.
- Consensus factors were categorized into Causes of Ptosis, Surgical Planning, Anatomy and Symmetry, and Ptosis-Related Quality of Life.
Conclusions:
- A consensus was achieved by ASOPRS oculoplastic surgeons on essential variables for ptosis evaluation.
- This consensus provides a standardized framework for assessing blepharoptosis.
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