Levator aponeurosis surgery is a widely used technique for the treatment of involutional blepharoptosis. However, few studies have analyzed patient satisfaction after this surgical treatment.
We retrospectively reviewed 448 patients who underwent levator aponeurosis surgery between January 2010 and December 2016 for bilateral involutional blepharoptosis at Kyorin University Hospital, Tokyo. We analyzed the patient satisfaction by a postal questionnaire with a five-point Likert scale. The reasons of the satisfaction were also asked.
The response rate of the questionnaires was 57.8% (259/448 patients). We reviewed the 259 patients (194 females and 65 males) aged 66.5 ± 12.6 years. 92 patients (35.5%) scored 5 (very satisfied), 103 patients (39.8%) scored 4 (satisfied), 9 patients (3.5%) scored 3 (neutral), 44 patients (17.0%) scored 2 (dissatisfied), and 11 patients (4.2%) scored 1 (very dissatisfied). Patient with severe ptosis, defined as the marginal reflex distance < 0 mm, showed higher satisfaction score (4.13) than non-severe patients (3.71) (p = 0.017). Patients without reoperation showed higher satisfaction score (3.97) than those with reoperation (3.51) (p = 0.006). There were no significant differences among age, sex, and surgeons. eCosmetic reason' such as asymmetry, was the most common reason (67.3%) for dissatisfaction, followed by einsufficient improvement of ptosis' (49.1%).
In involutional blepharoptosis, patient satisfaction was affected by preoperative severity of ptosis and reoperation. Not only good functional result but also good cosmetic result is required for patient satisfaction in blepharoptosis surgery.