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      Impact of Single Eyelid on Superior Visual Field


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          A puffy eyelid without a crease, also known as single eyelid, is a common characteristic in East Asians. Existence of a lid crease is generally considered an aesthetic concern for both patients and surgeons, and postoperative evaluations have mainly focused on the appearance of the eye. The aim of this study was to clarify the functionality of the superior visual field (SVF) with single eyelid.

          This prospective cohort study compared edge of the upper eyelid to central corneal light reflex distance (edge reflex distance [ERD]) preoperatively and postoperatively and examined the SVF, as measured by Goldmann perimetry, in single-eyelid patients who underwent blepharoplasty.

          Twenty patients (40 eyelids) with a median age of 21 years were examined. The median preoperative and postoperative ERDs were 1.45 and 3.4 mm, respectively. The median areas of the SVF preoperatively and postoperatively were 34,443 and 50,796 degrees 2, respectively. Although a positive correlation existed between preoperative ERD and SVF, no correlation was observed between postoperative ERD and SVF.

          The SVF of the single eyelid is narrower than that of the double eyelid, even under circumstances of equivalent palpebral fissure height. The single eyelid commonly found in East Asian populations is associated with both cosmetic and functional issues.

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          Most cited references29

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          Functional indications for upper eyelid ptosis and blepharoplasty surgery: a report by the American Academy of Ophthalmology.

          To evaluate the functional indications and outcomes for blepharoplasty and blepharoptosis repair by assessing functional preoperative impairment and surgical results.
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            Anthropometry of asian eyelids by age.

            The normal morphologic and functional values of eyelids and orbits vary according to race, sex, and age. Unfortunately, there is a paucity of information related to these values in Asians, leading Asian surgeons to use statistical data from Caucasians.
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              Comparative evaluation of Asian and white ocular topography.

              To provide comparative ocular topography data from a substantial population of East Asian and white eyes.

                Author and article information

                Ann Plast Surg
                Ann Plast Surg
                Annals of Plastic Surgery
                Lippincott Williams & Wilkins
                April 2022
                16 March 2022
                : 88
                : 4
                : 375-380
                From the [a ]Department of Plastic and Reconstructive Surgery, Matsunami General Hospital, Kasamatsu
                [b ]Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine and Graduate School of Medicine, Matsumoto, Japan.
                Author notes
                [*]Reprints: Takeshi Kitazawa, MD, Department of Plastic and Reconstructive Surgery, Matsunami General Hospital 185-1 Dendai, Kasamatsu, Gifu 501-6062, Japan. E-mail: kitzwatt@ 123456yahoo.co.jp .
                SAP_220497 00006
                Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

                Aesthetic Surgery
                Custom metadata

                east asian,single eyelid,double eyelid,ptosis,superior visual field,blepharoplasty,goldmann perimetry


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