Journal of Ophthalmic and Optometric Sciences

Vol. 2 No. 4 (2018)

Ocular Penetrating Injury as a Complication of Blepharoplasty: A Case Report

Journal of Ophthalmic and Optometric Sciences, Vol. 2 No. 4 (2018), 23 September 2018 , Page 27-30
https://doi.org/10.22037/joos.v2i4.31815

Abstract

Purpose: To report a rare case of ocular penetrating injury after blepharoplasty procedure.

Case report: Blepharoplasty is a frequent oculoplastic surgery with relatively infrequent complications. Penetrating injury of the eye due to blepharoplasty has been reported in few previous
studies. Here we report a 35-year-old woman presenting with visual loss in her left eye as a complication of blepharoplasty. In funduscopic examination, prominent retinal folds were found and optical coherence tomography (OCT) findings were compatible with macular hypotony caused by a neglected penetrating injury during oculoplastic surgery. She was admitted and underwent the primary repair of the scleral and limbal laceration. Her visual acuity and other symptoms improved significantly one week after surgery. After six months, her visual acuity for the injured eye was 20/20 without any other complications.

Conclusion: Hypotonic maculopathy, disproportionate pain, and visual loss can be alarming signs after cosmetic blepharoplasty pointing to a probable penetrating eye injury.

Keywords:
  • Eye Injuries،Blepharoplasty،Case Report،Iran

How to Cite

Soleimani, M., Mehrpour, M. ., & Soleimani , Z. (2017). Ocular Penetrating Injury as a Complication of Blepharoplasty: A Case Report. Journal of Ophthalmic and Optometric Sciences, 2(4), 27–30. https://doi.org/10.22037/joos.v2i4.31815

References

1. Patrocinio TG, Loredo BA, Arevalo CE, Patrocinio LG, Patrocinio JA. Complications in blepharoplasty: how to avoid and manage them. Braz j otorhinolaryngol. 2011;77(3):322-7. Figure 2: The scleral and limbal laceration one day after primary repair

2. Medina Flávio MC, Pierre Filho PTP, Freitas Héverton B, Rodrigues FKP, Caldato R. Blindness after cosmetic blepharoplasty: case report. Arq Bras Oftalmol. 2005;68(5):697-9.

3. Mejia JD, Egro FM, Nahai F. Visual loss after Journal of Ophthalmic and Optometric Sciences. Volume 2, Number 4, Autumn 2018. This work is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs (CC BY-NC ND) 30 blepharoplasty: incidence, management, and preventive measures. Aesthet Surg J. 2011;31(1):21- 9.

4. Ibáñez Flores N, Castellar Cerpa JJ, Anaya Alaminos R, Peraza-Nieves J. Ocular perforation post-blepharoplasty. J Fr Ophtalmol. 2015;38(9):894.

5. Darlington JK, Lee WB, Schwab IR. Corneal perforation during laser blepharoplasty. Ophthalmic Surgery, Ophthalmic Surg Lasers Imaging. 2006;37(4):327-9.

6. Parikh M, Kwon YH. Vision loss after inadvertent corneal perforation during lid anesthesia. Ophthalmic Plast Reconstr Surg. 2011;27(5):e141-e142.

7. Zhao JY, Guo XS, Song GD, Zong XL, Yang XN, Du L, et al. Surgical outcome and patient satisfaction after Z-epicanthoplasty and blepharopasty. Int J Ophthalmol. 2018;11(12):1922-5.
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