ASOPRSFall Scientific SymposiumSyllabus
126
2:15pm
Questions andDiscussion
2:20 – 2:50pm
BreakwithExhibitors andPoster StandBy Session
EyelidSession III
Moderator: SeanM. Blaydon,MD, FACS
2:50pm
TheAbbreviatedNational Eye InstituteVisual FunctionQuestionnaire
(NEI VFQ 9) is aSensitive andTimeEfficientMethod forDetecting theChanges
inVisual FunctionCausedbyBlepharoptosis andDermatochalasis andTheir
Surgical Correction
César A. Briceño
1
,Molly L. Fuller
2
, ElizabethA. Bradley
2
, ChristineC. Nelson
1
.
1
Ophthalmology, KelloggEyeCenter,
University ofMichigan, AnnArbor,MI, UnitedStates,
2
Ophthalmology,MayoClinic, Rochester,MN, UnitedStates
Introduction:
The quality of life implications of functional blepharoplasty and ptosis surgery have been studied, but existing surveys
may be impractical to administer in a busy clinical setting
1-3
.The abbreviatedNational Eye InstituteVisual FunctionQuestionnaire (NEI
VFQ9) is an established tool for quickly assessing visual function in a variety of eye conditions.We hypothesized that theNEI VFQ 9
would be a sensitive and efficient way to assess visual function in patientswith blepharoptosis and dermatochalasis.
Methods:
In this prospective study, patients referred to a single surgeonwere evaluatedwithmargin-to-reflex distance (MRD1), and
theNEI VFQ 9 survey. Patientswere included in the study if their evaluation led to surgical correction by blepharoplasty, blepharoptosis
repair, or a combination. Patientswith other simultaneous eyelid surgerywere excluded.Testingwas repeated at a post-operative visit.
Survey durationwas timed in a subset of patients. Pre- and post-operative composite scoreswere comparedwith the Student’sT-test.
Results:
Twenty-nine blepharoplasty-only patients, eleven ptosis surgery-only patients, and six combination patientswere included in
the study. In the blepharoplasty-only group, themean pre-operativeNEI VFQ9 composite scorewas 74.9/100, and themean post-
operative scorewas 86.8/100 (p<0.0001).Themean pre-operative composite score for the ptosis surgery-only patientswas 72.07,
and the post-operativemean composite scorewas 86.41 (p=0.004). In the combination group, the pre-operativemean composite
scorewas 75.8, and themean post-operative composite scorewas 87.2 (p=0.022). No correlationwas found between the gain in
composite score and the change inMRD1.Twenty-five patientswere timed filling out the survey, and themeanwas 7.1minutes.
Conclusions:
TheNEI VFQ9 consistently demonstrates an increase in visual function for blepharoptosis and dermatochalasis patients.
This is in keepingwith previously published reports, but theNEI VFQ 9 is amore efficient andmore readily available tool, that has been
vetted in a number of common eye conditions.With further study, thismay allow for comparisons of visual function impairment in eyelid
malpositions versus other conditions, and to further understand the role that eyelidmalposition plays in diminishing visual function in
the patient withmultiple eye comorbidities.
References:
1
Sanchez-CastellanosA, NelsonCC,MuschD. Impact of Lid Position Surgery on Social and Emotional Aspects of Quality
of Life inAdults.ASOPRS Fall Symposium 2010
2
Federici TJ,Meyer DR, Lininger LL. Correlation of the vision-related functional impairment associatedwith blepharoptosis and the
impact of blepharoptosis surgery. Ophthalmology. 1999 Sep;106(9):1705-12.
3
BattuVK,Meyer DR,Wobig JL. Improvement in subjective visual function and quality of life outcomemeasures after blepharoptosis
surgery.Am JOphthalmol. 1996 Jun;121(6):677-86.
DetailedProgram
—Friday,October 17, 2014
