JOURNAL ARTICLE

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

Christopher C Teng, Shantan Reddy, Jeffrey J Wong, Richard D Lisman
Ophthalmic Plastic and Reconstructive Surgery 2006, 22 (5): 388-9
16985426
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.

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