{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:58:30Z","timestamp":1787169510137,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report the frequency of periorbital aesthetic abnormalities in patients undergoing refractive surgery and to report the ability of the patient and the refractive surgeon in picking up these findings compared to the oculoplastic surgeon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Single-center, prospective observational case series. All patients underwent standard pre-operative work-up for refractive surgery, answered a study questionnaire, and underwent face photographs (with and without glasses). The patient, the refractive, and the oculoplastic surgeons evaluated the photographs to categorize the concerns as none, presence of ptosis, tear trough deformity, scleral show, and others. The findings of the oculoplastic surgeon were taken as the standard of reference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The photographs of 121 patients were analyzed. The mean age was 25.76 \u00b1 3.75 years and 72% were males. The main indication for surgery was to eliminate dependency on glasses in a majority (76%) followed by cosmesis in 23%. The oculoplastic surgeon noted tear trough deformity in 14 (11.5%) cases, scleral show in 51 (42.1%), ptosis in 35 (28.9%), and other findings in 45 (37.1%). When the symmetrical scleral show was excluded, the patient picked up aesthetic concerns in only 8.26%, the refractive surgeon in 14% as compared to 39% by the oculoplastic surgeon (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Periorbital aesthetic significant findings were noted in 39% of the patients undergoing corneal refractive surgery when assessed by an oculoplastic surgeon. The refractive surgeon was able to pick up less than 50% of these. We recommend a basic aesthetic initial evaluation prior to refractive surgery and photographic documentation, especially in cosmetically aware patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_471_21","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T11:42:39Z","timestamp":1633434159000},"page":"2771-2775","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Periorbital aesthetic concerns in patients seeking corneal refractive surgery"],"prefix":"10.4103","volume":"69","author":[{"given":"Milind N","family":"Naik","sequence":"first","affiliation":[{"name":"Ophthalmic Plastic Surgery Service, L. V. Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed A","family":"Khader","sequence":"additional","affiliation":[{"name":"Ophthalmic Plastic Surgery Service, L. V. Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somasheila I","family":"Murthy","sequence":"additional","affiliation":[{"name":"Cornea Service, The Cornea Institute, L. V. Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,9,25]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.ophtha.2008.12.037","article-title":"LASIK world literature review","volume":"116","author":"Solomon","year":"2009","journal-title":"Ophthalmology"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"1687","DOI":"10.1016\/j.jcrs.2005.09.014","article-title":"Late ptosis after laser in situ keratomileusis","volume":"31","author":"Oguz","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1016\/j.jcrs.2004.10.066","article-title":"Unexpected outcomes associated with laser in situ keratomileusis:Ptosis, anisocoria, and \u201ccuring\u201cof exotropia","volume":"31","author":"Wasserman","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"1572","DOI":"10.1016\/j.jcrs.2003.12.028","article-title":"Ptosis after laser in situ keratomileusis","volume":"30","author":"Cheng","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"B5-20240828","first-page":"472","article-title":"Periorbital hyperpigmentation:Review of etiology, medical evaluation, and aesthetic treatment","volume":"13","author":"Roberts","year":"2014","journal-title":"J Drugs Dermatol"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1097\/IOP.0b013e3181cf9298","article-title":"Orbital decompression in the treatment of proptosis due to high axial myopia","volume":"26","author":"Satchi","year":"2010","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"e016970","DOI":"10.1136\/bmjopen-2017-016970","article-title":"Quality of reporting of pilot and feasibility cluster randomized trials:A systematic review","volume":"7","author":"Chan","year":"2017","journal-title":"BMJ Open"},{"key":"B8-20240828","first-page":"276","article-title":"Interrater reliability:The kappa statistic","volume":"22","author":"McHugh","year":"2017","journal-title":"Biochem Med (Zagreb)"},{"key":"B9-20240828","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1038\/eye.2011.151","article-title":"Visual factors associated with patient satisfaction and quality of life in LASIK","volume":"25","author":"Lazon de la Jara","year":"2011","journal-title":"Eye (Lond)"},{"key":"B10-20240828","doi-asserted-by":"crossref","first-page":"1859","DOI":"10.2147\/OPTH.S118545","article-title":"Effects of laser in situ keratomileusis on mental health-related quality of life","volume":"10","author":"Tounaka-Fujii","year":"2016","journal-title":"Clin Ophthalmol"},{"key":"B11-20240828","doi-asserted-by":"crossref","first-page":"438","DOI":"10.3928\/1081597X-20090728-03","article-title":"Development of a new subjective questionnaire:The Freedom from glasses value scale (FGVS)","volume":"26","author":"L\u00e9vy","year":"2010","journal-title":"J Refract Surg"},{"key":"B12-20240828","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1097\/ICL.0000000000000279","article-title":"Corneal thickness profile changes after femtosecond LASIK for hyperopia","volume":"43","author":"Li","year":"2017","journal-title":"Eye Contact Lens"},{"key":"B13-20240828","doi-asserted-by":"crossref","first-page":"274","DOI":"10.3109\/01676830.2012.681750","article-title":"Blepharoptosis following anterior segment surgery:A new theory for an old problem","volume":"31","author":"Mehat","year":"2012","journal-title":"Orbit"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_471_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:07:14Z","timestamp":1787166434000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_471_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,25]]},"references-count":13,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_471_21","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,25]]},"assertion":[{"value":"2021-02-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}