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.

Citation

Richards, H., Jenkinson, E., White, P., & Harrad, R. (2021). Patient reported psychosocial functioning following successful ptosis surgery. Eye, 36, 1651–1655. https://doi.org/10.1038/s41433-021-01685-w

• 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