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September 6, 2026Facial Plastic SurgeryOpen Access

Preoperative Visual Field Patterns Associated with Selection for Concurrent Eyelid and Brow Ptosis Repair

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Authors

ESEli SteinLSLlexa SchechterCGCelestine Gregerson

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Overview

Retrospective cohort study reveals mid-temporal visual field loss predicts combined eyelid-brow surgery in ptosis patients, indicating an objective marker that reduces revision rates.

Key Points

  • To identify preoperative visual field patterns that predict selection for combined eyelid and brow ptosis surgery in patients with functional visual deficits.
  • Retrospective cohort study of N=171 patients undergoing isolated eyelid surgery or combined eyelid-brow surgery who completed preoperative Humphrey Visual Field testing.
  • Patients in the isolated and combined surgery cohorts were matched 1:2 based on demographic and surgical characteristics.
  • Visual field deficit patterns were evaluated using multivariable generalized estimating equations.
  • Mid-temporal visual field impairment was the sole independent predictor of selection for combined repair (OR=1.38 per missed dot, 95% CI 1.06–1.81, p=0.018).
  • Combined eyelid and brow repair independently correlated with reduced odds of requiring revision surgery (OR=0.31, 95% CI 0.10–0.97, p=0.044).

Cite This Study

Stein et al. (2026) studied this question.

synapsesocial.com/papers/6a9d1e1f28139818eab20dc2https://doi.org/10.1055/a-2949-3531
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Differences in Clinical Characteristics and Outcomes of Ptosis Surgery: A Report of 260 Cases2024
  2. 2An update on posterior-approach blepharoptosis surgery: Influence of clinical factors on surgical outcomes2026
  3. 3Lateral pretrichial subcutaneous brow lift with upper eyelid blepharoplasty2025
  4. 4A Novel Quantitative Preoperative Method for Assessing Skin Resection in Infrabrow Excision Blepharoplasty2026
  5. 5Beyond visual field restriction: reconsidering functional assessment in upper eyelid dermatochalasis2026