{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:01:08Z","timestamp":1788541268266,"version":"build-2803163510"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In this study, we seek to answer the question: Does blepharoplasty for dermatochalasis alter visual performance?<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>We seek to determine the impact of blepharoplasty on visual performance (refraction, contrast sensitivity, and visual field) in patients with dermatochalasis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A total of 146 eyelids of 74 patients, 48 (64.9%) females and 26 (35.1%) males ranging from 40 to 68 years old, with dermatochalasis were analyzed prospectively. Refraction, contrast sensitivity, visual acuity, higher-order aberrations (HOAs), and mean deviation index (MDI) in the Humphrey visual field were evaluated and recorded before and at 2, 4, and 6 months after upper eyelid blepharoplasty.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>At the latest follow-up, uncorrected and corrected distance visual acuity showed no significant differences (P &amp;gt; .05). Patients\u2019 contrast sensitivity increased significantly at all spatial frequencies under both conditions (P &amp;lt; .05) except at 12 cycles per degree in the photopic condition (P = .947). Mean astigmatism significantly decreased from \u22121.17 \u00b1 0.83 to \u22120.89 \u00b1 0.66 postoperatively (P \u2264 .001). Total HOAs decreased significantly from 0.59 \u00b1 0.13 \u03bcm to 0.51 \u00b1 0.09 \u03bcm (P &amp;lt; .01) after surgery. The root mean square of the spherical aberration (P &amp;lt; .01), vertical trefoil (P = .018), horizontal trefoil (P &amp;lt; .01), horizontal coma (P &amp;lt; .001), and vertical coma (P &amp;lt; .01) decreased significantly. The MDI of the Humphrey visual field increased significantly postoperatively at all times compared with preoperatively (P &amp;lt; .05). The Blepharoplasty Outcomes Evaluation questionnaire showed significant favorable satisfaction with visual quality indexes (P &amp;lt; .001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Upper lid blepharoplasty, in addition to its aesthetic effect, is an effective intervention to promote visual function and quality of life.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/asj\/sjad029","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T05:45:50Z","timestamp":1676439950000},"page":"719-728","source":"Crossref","is-referenced-by-count":5,"title":["From Addressing Aesthetics and Soft Tissue to Visual Performance: Multifaceted Satisfaction Assessment in a Multicenter Study of Patients With Dermatochalasis"],"prefix":"10.1093","volume":"43","author":[{"given":"Feizollah","family":"Niazi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill A","family":"Foster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Foad","family":"Nahai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farzad R","family":"Nahai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sana","family":"Niazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3758-0569","authenticated-orcid":false,"given":"Farideh","family":"Doroodgar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soltan 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