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Updated: Sep 6, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Preoperative Visual Field Patterns Associated with Selection for Concurrent Eyelid and Brow Ptosis Repair
Eli Stein1, Ilexa Schechter2,3, Celestine H Gregerson4
1NewYork-Presbyterian Weill Cornell Medical Center, Department of Otolaryngology-Head and Neck Surgery, New York, United States, New York.
Introduction:
Determining when to perform combined eyelid and brow surgery for functional deficits remains subjective, despite measurable visual field (VF) impairment in affected patients.
Objectives:
We sought to identify VF patterns associated with selection for combined eyelid-brow surgery.
Study Design:
Retrospective cohort study Methods: Patients with preoperative Humphrey Visual Field testing undergoing isolated eyelid surgery or combined eyelid-brow surgery for VF deficits were matched 1:2 by demographic and surgical characteristics. VF patterns were analyzed using generalized estimating equations.
Results:
Among 171 patients, the mid-temporal VF zone was the only independent predictor of combined-repair selection on multivariable analysis (OR=1.38 per dot missed, 95% CI 1.06-1.81, p=0.018). Combined repair was also independently associated with lower odds of need for revision surgery (OR=0.31, 95% CI 0.10-0.97, p=0.044).
Conclusions:
The mid-temporal VF may serve as a marker of brow-related visual obstruction, helping guide selection for combined eyelid-brow surgery in functional blepharoptosis.
