Blepharoptosis among Korean adults: age-related prevalence and threshold age for evaluation

Ji-Sun Paik,Wonkyung Cho,Su-Kyung Jung,Kyungsun Na,Suk-Woo Yang,Sungeun Kim,Kyungdo Han,Yongkyu Park

doi:10.1186/s12886-020-01350-y

Abstract

BackgroundTo evaluate the prevalence of blepharoptosis among Korean adults and the characteristics of blepharoptosis patients, and to determine an appropriate age threshold for recommending blepharoptosis evaluation.MethodsThe Korean National Health and Nutrition Examination Survey (KNHANES-V) was conducted in 2010–2012. We extracted data on 17,878 Korean adults aged more than and equal to 19 years included in KNHANES-V, and determined blepharoptosis prevalence according to age, to determine the cutoff age for recommending blepharoptosis evaluation. We also determined the possible association between blepharoptosis and obesity parameters, such as body mass index (BMI) and waist circumference (WC).ResultsThere was astrong association between older age and the prevalence of blepharoptosis. The cutoff age for recommending blepharoptosis evaluation was 63 years for males, 70 years for females, and 66 years for all patients. Patients with a high BMI and large WC had a higher prevalence of blepharoptosis in all age groups except for those aged over 80 years. The association of blepharoptosis with BMI according to age group showed that in the 50–59 and 60–69 years age groups, blepharoptosis prevalence and BMI were higher. However, in the 70–79 and 80–89 years age groups, extremely obese patients (BMI > 30) showed a decreased blepharoptosis prevalence.ConclusionsModerate to severe blepharoptosis can result in poor visual function and exacerbate headaches and depression, leading to decreased quality of life. This study proposed an appropriate age threshold for recommending evaluation of patients with blepharoptosis among the general population of Korea.

Highlights

To evaluate the prevalence of blepharoptosis among Korean adults and the characteristics of blepharoptosis patients, and to determine an appropriate age threshold for recommending blepharoptosis evaluation
Factors associated with the composite outcome of blepharoptosis were less drinking, less exercise, less income, less education, more metabolic syndromes, more hypertension, more severe diabetes, more cataracts, less employment, higher age, a higher body mass index (BMI), and a greater waist circumference (WC)
After adjusting for confounders, age, and obesity parameters including BMI and WC were closely related with blepharoptosis

Summary

Introduction

To evaluate the prevalence of blepharoptosis among Korean adults and the characteristics of blepharoptosis patients, and to determine an appropriate age threshold for recommending blepharoptosis evaluation. Richards et al reported that patients with blepharoptosis had higher levels of anxiety, depression, and concerns regarding their appearance than the general population [5]. When questioned about their visual function-related quality of life, Briceño et al reported that after surgery for ptosis. Paik et al BMC Ophthalmology (2020) 20:99 repair, patients reported a significant increase in visual function [6]. Based on these findings, physicians should be concerned about appearance-related distress and compromised psychological well-being among patients with ptosis

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