Chemosis Following Blepharoplasty: An Unusual Complication.

Levine, Mark R.; Davies, Rodger P.; Ross, Joseph

doi:10.1097/00002341-199603000-00023

Cited by 7 publications

(12 citation statements)

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“…Furthermore, inadequate appreciation of the lymphatic anatomy may result in disruption of lymphatic channels during surgery and trauma, reducing lymphatic drainage and resulting in avoidable, prolonged eyelid and conjunctival oedema. 19 Although lymphatic metastasis may be predictable based on the primary position of the tumour it is not always failsafe, especially in watershed areas. In 1990, intraoperative lymphatic mapping and selective lymph node dissection were introduced as an alternative to cervical lymph node dissection in patients with clinical stage I cutaneous melanoma.…”

Section: Discussionmentioning

confidence: 99%

Patterns of regional head and neck lymph node metastasis in primary conjunctival malignant melanoma

Lim

Tatla

Hersh

et al. 2006

British Journal of Ophthalmology

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Objective: To correlate patterns of regional lymph node metastasis with the site of origin in primary conjunctival malignant melanoma. Design: Retrospective analysis (1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003) of clinical data. Setting: Two London tertiary referral centres. Participants: 12 patients presenting with regional metastases after failed local treatment for conjunctival malignant melanoma. Results: 6 cases predominantly involving the temporal conjunctiva metastasised to the pre-auricular lymph nodes. Two cases predominantly involving the nasal conjunctiva metastasised to the submandibular nodes. Of the two cases with purely multifocal disease, one metastasised to the pre-auricular nodes and another to both submandibular and parotid nodes. One primary conjunctival malignant melanoma had its origin in temporal conjunctiva but metastasised to submandibular nodes, and another case originating from nasal conjunctiva metastasised to pre-auricular nodes. Conclusions: Temporal conjunctival melanotic lesions tend to metastasise clinically to pre-auricular lymph nodes and nasal conjunctival melanotic lesions metastasise to the submandibular lymph nodes. Patterns appear consistent with laboratory-based anatomically mapped lymphatic drainage basins of the conjunctiva.

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Section: Discussionmentioning

confidence: 99%

Patterns of regional head and neck lymph node metastasis in primary conjunctival malignant melanoma

Lim

Tatla

Hersh

et al. 2006

British Journal of Ophthalmology

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“…Persistent conjunctival chemosis following blepharoplasty surgery can be disturbing to the patient and a challenge to the surgeon. 88 Prominent postoperative edema and chemosis may be more common in poorly treated rosacea patients, in hypervascular patients who excessively blush with laughter or facial expression, and with extensive surgical dissection of the lateral canthus and periorbital areas. Chemosis may cause epiphora, corneal and conjunctival drying, corneal dellen, blurred vision, and ocular discomfort.…”

Section: Conjunctival Chemosismentioning

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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“…There are pre-and postseptal lymphatics in the lid, and damage to the lymphatic system may result in postoperative chemosis. 7 The orbicularis muscle lies just deep to the skin and may be divided into orbital and palpebral portions, which are located just deep to the skin at the level of the orbital rim and eyelid, respectively. The palpebral portion may be further differentiated into the preseptal and pretarsal segments, which are located anterior to the septum and tarsus, respectively.…”

Section: Eyelid and Periorbital Anatomymentioning

confidence: 99%

Evolution of Blepharoplasty

2019

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The eyes and periorbital region are central components of facial beauty and harmony, but the periorbital region is also one of the earliest to show signs of aging. Over the past few decades, significant progress has been made in our understanding of the anatomy in this area, as well as the deleterious effects of aging in this region. In turn, surgical philosophy and techniques have evolved to better combat changes in this area to achieve a more youthful, natural appearance.

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Chemosis Following Blepharoplasty: An Unusual Complication.

Cited by 7 publications

References 0 publications

Patterns of regional head and neck lymph node metastasis in primary conjunctival malignant melanoma

Patterns of regional head and neck lymph node metastasis in primary conjunctival malignant melanoma

Management of Cosmetic Eyelid Surgery Complications

Evolution of Blepharoplasty

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