Amaurosis After Lower Eyelid Laser Blepharoplasty

Yachouh, Jacques; Arnaud, D; Psomas, Christina; Arnaud, S.; Goudot, P.

doi:10.1097/01.iop.0000214531.58587.57

Cited by 11 publications

(5 citation statements)

References 6 publications

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“…Vision loss may ensue from microvascular compression that leads to ischemic optic neuropathy. [22][23][24][25] It has also been postulated that a tense orbit may exceed the mean arterial pressure of the ophthalmic artery or central retinal artery resulting in central retinal artery occlusion. [26][27][28][29][30][31][32] With prompt treatment vision loss can be reversible after retrobulbar hemorrhage.…”

Section: Deep Orbital Hemorrhage and Severe Vision Lossmentioning

confidence: 99%

Management of Cosmetic Eyelid Surgery Complications

Klapper¹,

Patrinely²

2007

Seminars in Plastic Surgery

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There is a broad spectrum of complications that can occur following cosmetic eyelid surgery. The experienced eyelid surgeon should be able to avoid most serious complications through proper patient selection, a comprehensive preoperative assessment and surgical plan, meticulous surgical technique, and appropriate postoperative care. The aesthetic eyelid surgeon must counsel a patient contemplating blepharoplasty surgery regarding typical expectations including edema, eyelid numbness, dry eyes, and mild blurred vision. Patients must also be aware of the risks and the signs of serious complications such as infection, hematoma, or severe vision loss. Oculofacial surgeons must be capable of managing these adverse outcomes. The management of these urgent complications as well as other significant postoperative problems including diplopia, lagophthalmos, eyelid malposition, severe chemosis and edema, crease abnormalities, and wound dehiscence is outlined in this review.

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Section: Deep Orbital Hemorrhage and Severe Vision Lossmentioning

confidence: 99%

Management of Cosmetic Eyelid Surgery Complications

Klapper¹,

Patrinely²

2007

Seminars in Plastic Surgery

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“…Retinal changes are observed mainly at early stages with the rise of retrobulbar hemorrhage after the blepharoplasty, followed by the application of local anesthetics containing epinephrine, vasospasm, inflammation, and systemic hypotension, respectively [30,31].…”

Section: Discussionmentioning

confidence: 99%

“…Çalık et al reported that iatrogenic cystoid macular edema and papillitis decreased spontaneously at week 5 after surgery [33]. Transient visual loss after transconjunctival lower lid blepharoplasty was reported, which was considered to be associated with vascular spasm in retina or optic nerve circulation [31]. Macular thickness alterations are also observed after the strabismus surgery.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Visual Field and Balance Function Alterations in Patients Who Underwent Dermatochalasis Surgery

Akıdan¹,

Çoban

Erol

et al. 2020

Journal of Ophthalmology

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Purpose. To compare perioperative visual field (VF), balance functions (BF), and changes in the other ocular parameters in patients undergoing upper eyelid dermatochalasis (DC) surgery. Methods. One hundred and fifty-eight eyes of 79 patients who underwent DC surgery were included in the study. The VF, BF, intraocular pressure (IOP), pachymetry (PM), macular, and optic nerve measurements were recorded. Measurements were repeated at postoperative month 1. The preoperative and postoperative ocular measurements and the balance data were compared. Results. Nineteen of 79 (24.05%) patients were male and 60 of 79 (75.95%) were female, while the mean age of the patients was 58.65 ± 7.38 years. There were statistically significant differences in terms of VF and macular thickness between the preoperative and postoperative values. The improvements in mean defect, standard loss variance, and mean sensitivity values of global VF parameters in both eyes were statistically significant after surgery. Central macular thickness, mean macular thickness, and macular volume decreased significantly in all eyes after surgery (p<0.05). Conclusions. Although a marked improvement was observed in VF and peripheral vision after surgery, no significant change was found in BF parameters including primarily falling risk. The significant change in the macular parameters was only remarkable, and we think that the decrease was due to subtle vasospasm. There is a need for further comprehensive studies including especially patients older than 65 with a view to understanding the effect of DC surgery on BF.

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“…Some cases may require a second surgery correction because of insufficient removal of fat bags. Other complications include infection, scleral show, conjunctivitis, corneal ulcer, diplopia, amaurosis, and damage of both the inferior oblique muscle and the orbicularis oculi muscle [11] [12]. Table 2 shows the complications reported in patients who underwent the transconjunctival approach versus the transcutaneous approach.…”

Section: Resultsmentioning

confidence: 99%

Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach

Rancati¹,

Jacovella²,

Zampieri³

et al. 2015

MPS

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Currently in lower blepharoplasty, the transconjunctival approach indication has been limited to young patients without skin excess and prominence of bags; in our practice this access has become the preferred technique in most of our cases because it is simpler, faster, prevents bad scarring, produces less orbicularis muscle trauma, and decreases postoperative edema and possible retractions (ectropion) in patients with decreased lower palpebral tone. Objective: To identify important concepts when deciding this approach. Material and Methods: Retrospective review of 177 patients who underwent lower blepharoplasty by a single surgical group. Regarding techniques, the transconjunctival approach was selected in 42% of patients while the transcutaneous technique was preferred in 58%. Results: A lower rate of complications was observed by the transconjunctival approach, with greater patient satisfaction. Conclusions: In our experience, due to its simplicity and less traumatic effect on the patient, the transconjunctival approach is an ideal technique, except in cases where there is lower eyelid weakness and surgical resolution is needed.

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Amaurosis After Lower Eyelid Laser Blepharoplasty

Cited by 11 publications

References 6 publications

Management of Cosmetic Eyelid Surgery Complications

Management of Cosmetic Eyelid Surgery Complications

Evaluation of Visual Field and Balance Function Alterations in Patients Who Underwent Dermatochalasis Surgery

Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach

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