Patient reported psychosocial functioning following successful ptosis surgery

Richards, Hollie; Jenkinson, E.; White, Paul; Harrad, Richard

Abstract

Background: Ptosis may result in increased anxiety, appearance-related distress and social avoidance, and impacts visual function. Previous work demonstrates the benefits of ptosis surgery for health-related quality of life, but there is a paucity of research comparing such outcomes before and after surgery. The aim of this study was to determine potential patient benefits in health-related quality of life, social dysfunction and anxiety following successful ptosis surgery using validated measures. Methods: Adult ptosis correction surgery patients completed validated measures of appearance-related social anxiety and avoidance, anxiety and depression, and fear of negative evaluation pre-surgery. Following successful surgery, these measures were repeated post-discharge in addition to another health-related quality of life measure. Results: Of 61 patients recruited, follow-up measures were sent to 33 and completed by 23. Paired samples t-tests demonstrated positive significant changes in appearance-related social distress pre-op m = 30.94, post-op m = 23.67 (t(17) = 3.46, 95% CI 2.84–11.72, p = 0.003), anxiety pre-op m = 7.6, post-op m = 4.9 (t(19) = 4.27, 95% CI 1.38–4.02, p < 0.001) and fear of negative evaluation pre-op m = 34.79, post-op m = 31.26 (t(18) = 2.47, 95% CI 0.52–6.53, p = 0.024). There was no significant difference in depression scores pre-op m = 3.6; post-op m = 3.2 (t(19) = 0.672, 65% CL −0.85 to 1.65, p = 0.510). In total, 85% of patients reported positive benefit to well-being following surgery. Conclusion: Increasingly, evidence suggests ptosis surgery may benefit patient’s well-being, appearance-related social anxiety and avoidance, as well as improving visual function. These psychosocial benefits should be considered alongside functional benefits in the provision of ptosis surgery.

• Journal Article Type: Article
• Acceptance Date: Jul 1, 2021
• Online Publication Date: Jul 29, 2021
• Publication Date: Jul 29, 2021
• Deposit Date: Jul 4, 2021
• Publicly Available Date: Aug 3, 2021
• Journal: Eye
• Print ISSN: 0950-222X
• Electronic ISSN: 1476-5454
• Publisher: Springer Nature [academic journals on nature.com]
• Peer Reviewed: Peer Reviewed
• Volume: 36
• Pages: 1651–1655
• DOI: https://doi.org/10.1038/s41433-021-01685-w
• Keywords: optical surgery; eye surgery; droopy eyelid; Health services; quality of life; Ptos surgery; Ptos; surgery; visual function; psychosocial benefits; functional; patient’s well-being; social anxiety; benefits; anxiety; social anxiety and avoidance
• Public URL: https://uwe-repository.worktribe.com/output/7507856
• Publisher URL: https://www.nature.com/articles/s41433-021-01685-w