Usefulness of mirror image processing software for creating images of expected appearance after blepharoptosis surgery
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ORIGINAL PAPER
Usefulness of mirror image processing software for creating images of expected appearance after blepharoptosis surgery Yuki Mawatari . Takahiro Kawaji . Hirohiko Kakizaki . Aric Vaidya . Yasuhiro Takahashi
Received: 28 July 2020 / Accepted: 27 November 2020 The Author(s) 2020
Abstract Purpose This study aims to evaluate the usefulness of creating images of expected appearance after blepharoptosis surgery using mirror image processing software. Methods This prospective, observational study included 60 sides from 30 patients with bilateral aponeurotic blepharoptosis who underwent levator resection or aponeurotic repair on both sides. Before surgery, facial photographs were taken after the eyelid on one side was lifted with a curved hook. The mirror images were created from these photographs and were merged with the original photographs for making the whole facial images, which were shown to each
Supplementary material The online version contains supplementary material available at (https://doi.org/10.1007/ s10792-020-01671-3). Y. Mawatari (&) Mawatari Oculoplastic Clinic, 8-2 Suido-cho, Chuo-ku, Kumamoto 860-0844, Japan e-mail: [email protected] Y. Mawatari Igo Ophthalmic Clinic, Kagoshima, Japan T. Kawaji Sato Eye and Internal Medicine Clinic, Kumamoto, Japan
patient at the preoperative counseling. At 1 month postoperatively, we asked patients about the usefulness of the mirror images to predict the postoperative appearance at the preoperative counseling and the similarity between the expected and the resultant postoperative appearance using questionnaires. Margin reflex distance-1, eyebrow height, and pretarsal skin height measured on predictive images were compared with those measured at 1 month postoperatively. Results Twenty-nine patients (96.7%) favorably responded to the usefulness of the mirror images to predict the postoperative appearance, and twenty-five patients (83.3%) accepted the similarity between the expected appearance and the actual postoperative appearance. The predictive images showed significantly lower margin reflex distance-1, higher eyebrow height, and higher pretarsal skin height than the postoperative results (P \ 0.001). Conclusion The creation of expected postoperative images was a useful simulation procedure before blepharoptosis surgery for patients to predict the probable postoperative appearance. Keywords Blepharoptosis Surgery Mirror image Simulation
H. Kakizaki A. Vaidya Y. Takahashi Department of Oculoplastic, Orbital and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan
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Int Ophthalmol
Introduction A postoperative change in the appearance is a major concern for patients before undergoing blepharoptosis surgery. The presentation of an expected postoperative appearance at the time of preoperative counseling can eliminate the patients’ anxiety. The presentation of pre- and postoperative face photos that were taken in other patients is helpful for clearly understa
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