ArticleAesthetic plastic surgery2026
Symmetry of the Upper Eyelid Following Bilateral Blepharoptosis Repair Using a Minimally Invasive Conjoint Fascial Sheath Suspension Technique.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimAim to use an artificial intelligence (AI) approach to automatically measure the marginal reflex distance 1 (MRD1), corneal exposure rate (CER) and percentage of overlapping curvatures (POC) to assess symmetry in patients with mild to moderate bilateral asymmetric ptosis, and to identify the optimal parameters for evaluating symmetry.
methodsA paired t test was employed to compare alterations in MRD1, CER, and POC prior to and following surgery. The AI measurement outcomes were then compared with manual measurements utilizing ImageJ to ascertain reliability and accuracy. Finally, the area under the receiver operating characteristic curve (AUC) reflecting diverse eyelid symmetry parameters was analyzed.
resultsThe MRD1 symmetry difference prior to surgery was measured at 0.89 ± 0.73mm, and postoperatively, this value decreased significantly to 0.53 ± 0.49mm (P < 0.0001). The preoperative CER demonstrated a statistically significant increase, from 75.01% ± 11.71% to 82.03% ± 9.20% (P < 0.0001). The POC value increased from an initial 90.62% ± 6.28% to a final 94.33% ± 3.61% (P = 0.004). Furthermore, the MRD1 symmetrical value was highly sensitive (98.48%), but less specific (37.88%). In addition, the study showed that the sensitivity of CER was 76.79%, while its specificity was 58.93%.
conclusionMinimally invasive CFS suspension effectively corrects mild-to-moderate bilateral blepharoptosis, with CER emerging as the most reliable metric for postoperative symmetry. Integration of AI tools enhance the objectivity of outcome assessments. A multi-parameter approach combining CER and POC is recommended for comprehensive clinical evaluation of eyelid symmetry. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Indexed as
Identifiers
41974905What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.