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Functional and psychosocial benefits of blepharoplasty
ISRCTN ISRCTN12000158
DOI 10.1186/ISRCTN12000158
ClinicalTrials.gov identifier
EudraCT number
Public title Functional and psychosocial benefits of blepharoplasty
Scientific title Functional and psychosocial benefits of blepharoplasty - evaluated by objective and subjective outcome measures
Acronym N/A
Serial number at source N/A
Study hypothesis To investigate the functional and psychosocial benefits of blepharoplasty, in order to evaluate the visitation guidelines for blepharoplasty from the Danish Health and Medicines Authority.
Lay summary Background and study aims
Removing excess skin from the upper eyelids (dermatochalasis) is one of the most commonly performed eyelid surgeries in Denmark. Patients who are referred for surgery may complain of ‘heavy’ eyelids, headache due to permanent lifting of the forehead, and compromised visual fields. The increasing cost of public healthcare has made it necessary to apply a new guideline to distinguish patients who are entitled to undergo a surgery subsidized by the national healthcare system. However, the guideline itself states that it is rather complicated to apply the same criteria for every single individual. Therefore, this study aims to provide a better understanding of the functional and social benefits of this eyelid surgery. This way we can hopefully apply better and more individualized criteria for admittance for eyelid surgery in a public hospital setting.

Who can participate?
Patients aged over 18 years with dermatochalasis referred by an ophthalmologist or primary physician.

What does the study involve?
The study involves a regular eye assessment along with photo documentation and visual field testing. Patients will receive a questionnaire discussing the functional and social impact of their ‘heavy’ eyelids. Surgeons will remove the excess skin from the upper eyelids. 3 months after surgery patients will have a control eye examination, photo documentation and visual field testing. Patient will also fill out the same questionnaire 3 months after the operation.

What are the possible benefits and risks of participating?
The possible benefits for the patient are an extended eye examination and an extra control assessment at 3 months after surgery. The study’s risk does not exceed the risk of a regular skin removal operation (blepharoplasty).

Where is the study run from?
Our study will run at the Department of Ophthalmology, Thy-Mors Hospital in Thisted, Denmark.

When is the study starting and how long is it expected to run for?
The study will run from March 2014 to March 2015.

Who is funding the study?
The study is fully financed by the Department of Ophthalmology, Thy-Mors Hospital, Denmark.

Who is the main contact?
Janos Hargitai
janos.hargitai@rn.dk
Ethics approval Regional Ethics Committee of North Jutland (Den Videnskabsetiske Komité for Region Nordjylland), 08/10/2013
Study design Observational cohort study
Countries of recruitment Denmark
Disease/condition/study domain Dermatochalasis, blepharoplasty
Participants - inclusion criteria Patients aged over 18 years with dermatochalasis meeting the Danish visitation guidelines for blepharoplasty on a functional indication
Participants - exclusion criteria 1. Aged under 18 years
2. Inability or unwillingness to answer the questionnaires or attend the 3-month follow-up
3. Visual acuity < 0.5
Anticipated start date 01/03/2014
Anticipated end date 01/03/2015
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 50
Interventions Upper eyelid blepharoplasty

Before surgery and 3 months after surgery:
1. Questionnaire concerning the functional and psychosocial impact of their eyelids
2. Standard eye exam including visual acuity measured using the Snellen Chart, slit lamp examination and indirect ophthalmoscopy
3. Photographic documentation using a normal camera and the infrared camera of the Spectralis OCT scanner.
Measurements of the eye include marginal reflex distance (MRD), eye fissure height, eye fissure width, upper lid sulcus height, upper lid height, iris diameter and upper iris radius visible
4. Automatic perimetry using the blepharoptosis program
Primary outcome measure(s) 1. Change in eyelid morphology after surgery
2. Change in visual field after surgery

Outcome measures will be assessed at baseline (surgery day) and 3 months after the surgery.
Secondary outcome measure(s) 1. Change in functional problems caused by dermatochalasis after surgery
2. Change in psychosocial problems causes by dermatochalasis after surgery
3. Patient satisfaction compared to change in MRD, change in functional problems, change in psychosocial problems and change in visual field

Outcome measures will be assessed at baseline (surgery day) and 3 months after the surgery.
Sources of funding Thy-Mors Hospital (Denmark)
Trial website
Publications
Contact name Dr  Janos  Hargitai
  Address Højtoftevej 2
  City/town Thisted
  Zip/Postcode 7700
  Country Denmark
  Email janos.hargitai@rn.dk
Sponsor Thy-Mors Hospital (Denmark)
  Address Højtoftevej 2
  City/town Thisted
  Zip/Postcode 7700
  Country Denmark
  Email janos.hargitai@rn.dk
Date applied 27/02/2014
Last edited 31/03/2014
Date ISRCTN assigned 27/03/2014
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