Complications in blepharoplasty: how to avoid and manage them

Patrocínio, Tomás; Loredo, Bruno Alvarenga Silva; Arévalo, C; Patrocı́nio, Lucas Gomes; Patrocı́nio, José Antônio

doi:10.1590/s1808-86942011000300009

Cited by 31 publications

(34 citation statements)

References 31 publications

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“…In addition, retrobulbar hematoma may occur if there is persistent bleeding in the orbicularis oculi muscle, or if adequate hemostasis of the resected fat tissue is not achieved [1,5]. According to Patrocinio et al [6], hematoma following blepharoplasty can be classified as pre-septal or post-septal. Pre-septal hematoma, which is confined to the eyelid alone, confers no risk of impaired vision, whereas post-septal hematoma occurs in the intraocular area, causing a pressure increase in the orbit and compromising the optical nerve.…”

Section: Discussionmentioning

confidence: 99%

Unilateral blindness due to retrobulbar hematoma after lower blepharoplasty

Lee

Hong

Kim

2019

Arch Aesthetic Plast Surg

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Blepharoplasty is one of the most popular cosmetic surgical procedures for people who are concerned with minimizing the effects of aging and maintaining an aesthetically attractive appearance. If periorbital surgery is not performed by an expert, the risk of complications increases. In particular, retrobulbar hematoma, which is the most serious complication after blepharoplasty, can lead to permanent blindness. We report a rare case of unilateral permanent blindness due to careless and unprofessional treatment following a retrobulbar hematoma after lower blepharoplasty. In conclusion, it is necessary to check for symptoms and signs including pain, proptosis, visual acuity, and light reflex after the operation. Careful instructions should then be given to patients and their caregivers to avoid actions that may cause postoperative bleeding. We emphasize that if a patient complains of symptoms, painkillers should not be used and computed tomography should be performed for an accurate and rapid diagnosis. Appropriate procedures must then be taken to prevent permanent vision loss.

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Section: Discussionmentioning

confidence: 99%

Unilateral blindness due to retrobulbar hematoma after lower blepharoplasty

Lee

Hong

Kim

2019

Arch Aesthetic Plast Surg

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“…The most common complications associated with blepharoplasty include asymmetry, edema, infection, lagophthalmos, and secondary keratopathy, canthal folds, and ectropion. While these complications can be treated, loss of vision is still a very serious complication that has been reported in the literature at a rate of 0.004% (11,12). These severe complications are more common after lower eyelid blepharoplasty operations, and are seen only rarely following upper eyelid blepharoplasty.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Surgical Outcomes, Patient Satisfaction and Potential Complications after Blepharoplasty

Akkaya¹

2018

Beyoglu Eye J

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Objectives:This study is an evaluation of the surgical outcomes, patient satisfaction, and potential complications following blepharoplasty surgery. Methods: A total of 128 patients who underwent blepharoplasty surgery between 2015 and 2017 were included in this study. A postoperative lid crease difference of at least 1 mm was considered asymmetrical. Pre-and postoperative tear break-up time (TBUT) was evaluated. All of the patients were asked to complete a satisfaction assessment form prepared by the authors. The scar tissue that developed along the incision line was evaluated and graded by a single observer. Results: The mean age of the patients was 62.70±9.73 years, and all of the patients were monitored for a period of least 6 months. In combination with blepharoplasty, 17 patients underwent eyebrow surgery, 6 underwent lower eyelid surgery, and 4 underwent levator surgery. Lid crease asymmetry of 1 mm was determined in 8 patients, and a 2-mm asymmetry was identified in 2 patients, although the pre-and postoperative TBUT was not significantly different (p≥0.05). A total of 107 (83.59%) patients reported a very high level of satisfaction at the postoperative sixth month, 15 (11.71%) patients reported a high level of satisfactıon, and 6 (4.68%) reported a moderate level of satisfaction. In the postoperative sixth month, 87 (67.97%) patients had no scar tissue at the incision line, while 36 (28.13%) patients had noticeable scar tissue upon close inspection, and 5 (3.91%) patients had apparent scar tissue. None of the patients developed serious complications, such as severe hematoma, lagophthalmos, or wound separation. Conclusion: In the present study, the patients generally expressed long-term satisfaction with the results of blepharoplasty surgery for dermatochalasis. A comprehensive preoperative assessment, and combining surgeries when necessary and appropriate, ensures a high rate of success in blepharoplasty procedures.

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“…Göz kapağına uygulanan cerrahilerde nadirde olsa hematom, kapak kenarı pozisyonel anomalileri ve pitozis gibi komplikasyonların gelişebileceği bildirilmektedir (25). Olgularımızda insizyon ve küretaj işlemine bağlı herhangi bir komplikasyonla karşılaşmamamız, işlem öncesi yaptığımız dikkatli lokal anestezi ve kapak kenarına dik bir kesi uygulanması (kapak kenarının 4 mm yakınına kadar) ile açıklanabilir.…”

Section: Discussionunclassified

Comparison of the effectiveness of intralesional triamcinolone acetonide injection vs. incision and curettage techniques in the treatment of chalazion

Zorlu¹,

Koçluk²,

Mat³

et al. 2014

Gaziantep Med J

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The aim of this study was to compare the effectiveness of intralesional triamcinolone acetonide injection with incision and curettage for the treatment of chalazion. Forty-six patients who were treated with conservative measures for at least 1 month without any healing were included into the study. Twenty-seven of them were treated with intralesional triamcinolone acetonide injection and 19 of them with incision and curettage via conjunctival approach. Regression of chalazion was observed in 24 (88%) of 27 patients who were injected intralesional triamcinolone acetonide, and 18 (95%) of 19 patients who were applied incision and curettage. No statistical difference was seen between the success rate of these two treatment options. There was not any complication in patients who were treated with incision and curettage but local depigmentation was seen in one patient (3.7%) who was treated with triamcinolone acetonide at the second month at follow-up. This depigmentation spontaneously disappeared at the 4th month. As a result in terms of success and complication ratios, effectiveness and reliability of these two methods were found similar in the treatment of chalazion. ÖzetBu çalışmada şalazyonlu olguların tedavisinde uygulanan, lezyon içi triamsinolon asetonid enjeksiyonu ile insizyon ve küretaj şeklinde uygulanan cerrahinin etkinliğinin karşılaştırılması amaçlandı. Çalışmada en az 1 ay konservatif yöntemlerle tedavi edilmiş ancak lezyon boyutlarında gerileme izlenmeyen toplam 46 olgunun 27'sine şalazyon içi triamsinolon asetonid enjeksiyonu, 19'una konjonktival yaklaşımla insizyon ve küretaj cerrahisi uygulandı. Triamsinolon asetonid enjeksiyonu uygulanan 27 olgunun 24'ünde (%88), insizyon ve küretaj uygulanan 19 olgunun 18'inde (%95) şalazyonun gerilediği gözlendi. Tedavi yöntemlerinin başarı oranları arasında istatistiksel olarak anlamlı fark gözlenmedi (p=0.67). İnsizyon ve küretaj uygulanan olgularda herhangi bir komplikasyon izlenmezken, triamsinolon asetonid uygulanan 1 (%3.7) olguda takipte 2. ayda lokal depigmentasyon görüldü. Bu depigmentasyon 4. ayda kendiliğinden kayboldu. Sonuç olarak her iki yöntemin şalazyon tedavisindeki başarı oranları ve komplikasyon izlenmemesi göz önüne alındığında etkinlik ve güvenirlikleri birbirine yakın bulundu. Anahtar kelimeler: Şalazyon; insizyon ve küretaj; triamsinolon asetonid Correspondence: Ferhat Zorlu,

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Complications in blepharoplasty: how to avoid and manage them

Cited by 31 publications

References 31 publications

Unilateral blindness due to retrobulbar hematoma after lower blepharoplasty

Unilateral blindness due to retrobulbar hematoma after lower blepharoplasty

Evaluation of Surgical Outcomes, Patient Satisfaction and Potential Complications after Blepharoplasty

Comparison of the effectiveness of intralesional triamcinolone acetonide injection vs. incision and curettage techniques in the treatment of chalazion

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