Evidence map›Paper›PMID 41884869›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2026

Evaluation of Risk Factors for Unilateral Aponeurotic Ptosis Using the Fellow Eye as Control: A Retrospective Study.

Ayami Katsuo, Kentaro Iwasaki, Ryoko Takayanagi, Nami Tanaka, Marie Suzuki, Shogo Arimura, Yoshihiro Takamura, Masaru Inatani

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In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Ayami KatsuoDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Yoshida, Fukui, Japan.
Kentaro IwasakiDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Yoshida, Fukui, Japan.
Ryoko TakayanagiFaculty of Medicine, Hyogo Medical University, Nishinomiya, Hyogo, Japan.
Nami TanakaDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Yoshida, Fukui, Japan.
Marie SuzukiDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Yoshida, Fukui, Japan.
Shogo ArimuraDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Yoshida, Fukui, Japan.
Yoshihiro TakamuraDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Yoshida, Fukui, Japan.
Masaru InataniDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Yoshida, Fukui, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Although aponeurotic ptosis is typically bilateral, the specific risk factors for unilateral cases remain unclear. Thus, we aimed to identify factors associated with unilateral aponeurotic ptosis by comparing eyes that underwent surgery with their non-ptotic contralateral counterparts. Patients and Methods: This retrospective observational clinical study included patients who underwent levator resection for aponeurotic ptosis at the Fukui University Hospital, between April 1, 2014, and March 31, 2024, were included. The contralateral non-ptotic eye served as the internal control. The presence of risk factors, such as a history of filtering surgery, prostaglandin analog use, cataract surgery, and vitrectomy, was compared between the operated and fellow eyes using McNemar's test. Firth's penalized logistic regression analysis was performed to identify independent risk factors for unilateral aponeurotic ptosis. Results: Sixty-eight patients were included in the analysis, with both eyes (136 eyes in total) evaluated. Glaucoma filtering surgery, prostaglandin analog use, and cataract surgery were significantly more frequent in operated eyes (P = 0.004, P = 0.045, and P = 0.002, respectively). Multivariate analysis showed that filtering surgery [odds ratio (OR) = 17.6, P = 0.009] and cataract surgery (OR = 2.07, P = 0.046) were independently associated with unilateral ptosis. Conclusion: Prior glaucoma filtering and cataract surgeries are significant risk factors for the development of unilateral aponeurotic ptosis.

Indexed as

cataract surgeryglaucoma filtering surgeryprostaglandin analogrisk factorsunilateral aponeurotic ptosis

Identifiers

PMID41884869
PMCPMC13012532

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