Retrobulbar hemorrhage nine days after cosmetic blepharoplasty resulting in permanent visual loss.

Abstract

A healthy 45-year-old man had a retrobulbar hemorrhage 9 days after cosmetic upper eyelid blepharoplasty that resulted in permanent visual loss. After performing a left lateral canthotomy and cantholysis, intraocular pressure returned to normal and vision improved from no light perception to 20/40; however, the patient did have permanent visual field loss. To our knowledge, this is the longest period of time after blepharoplasty that a retrobulbar hemorrhage occurred. Ophthalmologists should have a heightened level of suspicion 1 to 2 weeks after surgery.

• Authors: Christopher C Teng, Shantan Reddy, Jeffrey J Wong, Richard D Lisman
• Journal: Ophthalmic plastic and reconstructive surgery (Ophthalmic Plast Reconstr Surg) 2006 Sep-Oct Vol. 22 Issue 5 Pg. 388-9 ISSN: 0740-9303 [Print] United States
• PMID: 16985426 (Publication Type: Case Reports, Journal Article)

Topics

• Blepharoplasty (adverse effects)
• Blepharoptosis (surgery)
• Blindness (diagnosis, etiology)
• Cosmetic Techniques (adverse effects)
• Follow-Up Studies
• Humans
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Postoperative Complications
• Retrobulbar Hemorrhage (complications, diagnosis)
• Visual Acuity