Document Detail

Comparative study of the subjective and objective grading of ptosis surgery outcomes.
MedLine Citation:
PMID:  16498435     Owner:  NLM     Status:  MEDLINE    
AIMS: To assess the results of blepharoptosis surgery in our hospital by subjective and objective grading of the outcome and comparing them to determine their degree of corelation. METHODS: Retrospective interventional case series report supplemented by postal questionnaires and telephonic patient surveys. The study included 107 eyelids of 78 patients. Using a simple grading system, surgical outcome was objectively graded as good, suboptimal, or poor. Outcome was also defined according to the patients' perspective as good, suboptimal, or poor. Level of agreement between the subjective and objective grading of the outcome was measured using a weighted kappa analysis. RESULTS: The objective results were classed as good-68/107 (63.5%), suboptimal--18 eyelids (16.8%), and poor--21 eyelids (19.6%). The subjective results were obtainable in 91 eyelids and were good--54/91 (59.3%), suboptimal--8/91 (8.7%), and poor--29/91 (32%). A mismatch between objective and subjective outcomes was seen in 16 eyelids. We saw a statistically significant corelation between the objective grading and the patients' perspective (P<0.001). CONCLUSION: Our overall ptosis surgery results are comparable with rates previously reported. The subjective and objective outcomes of ptosis surgery may sometimes vary, but nevertheless exhibit substantive agreement when measured by this simple grading system.
K Taherian; P L Atkinson; M Shekarchian; A J Scally
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2006-02-24
Journal Detail:
Title:  Eye (London, England)     Volume:  21     ISSN:  0950-222X     ISO Abbreviation:  Eye (Lond)     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-03     Completed Date:  2007-07-10     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  8703986     Medline TA:  Eye (Lond)     Country:  England    
Other Details:
Languages:  eng     Pagination:  639-42     Citation Subset:  IM    
Department of Ophthalmology, Bradford Royal Infirmary, Bradford, UK.
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MeSH Terms
Aged, 80 and over
Blepharoplasty* / methods
Blepharoptosis / etiology,  pathology,  surgery*
Child, Preschool
Middle Aged
Patient Satisfaction
Reproducibility of Results
Retrospective Studies
Severity of Illness Index
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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