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Oculoplastic

Audit and Research

The department’s work is benchmarked against the international “best-in-class”. The types of surgeries performed, and the success rates are shown in Figure 6.1 to 6.6.


Ptosis

Of the patients undergoing ptosis surgery, 97% expressed satisfaction with the surgical results in 2014 (91% achieved good symmetry or no-more than 1mm asymmetry).


A study by McCulley et al. (2003) demonstrated that 23% of patients had imperfect eyelid position by subjective patient grading in a comparison of several institutions in the United States (McCulley, Kersten, Kulwin & Feuer, 2003). The British Oculoplastic Surgery Society National Ptosis Survey demonstrated, in a 1-year prospective study of ptosis surgery results, a 57% success rate and a 39% partial success rate after assessing an interlid margin reflex distance difference <2mm and the symmetry of lid contour (Scoppettuolo, Chadha, Bunce, Oliver, & Wright, 2008).





Entropion

Surgical audits from 2010 demonstrated that 98% of all cases achieved good lid-globe apposition for entropion correction.


Dacryocystorhinostomy


Blepharoplasty

Of the patients undergoing blepharoplasty surgery, 82.4% rated their experience as satisfactory or excellent. The average and median ratings were 7 out of 10.


References

  1. McCulley, T. J., Kerstern, R. C., Kulwin, D. R., & Feuer, W. J. (2003). Outcome and influencing factors of external levator palpebrae superioris aponeurosis advancement for blepharoptosis. Ophthalmic Plastic and Reconstructive Surgery, 19, 388-393.

  2. Scoppettuolo, E., Chadha, V., Bunce, C., Oliver, J. M., & Wright, M. (2008). British Oculoplastic Surgery Society (BOPSS). National Ptosis Survey. British Journal of Ophthalmology, 92, 1134-1138.

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