Restrictive horizontal strabismus following blepharoplasty.
OBJECTIVE
To report a case of horizontal diplopia after a four-lid blepharoplasty.


METHODS
Observational and interventional case report.


METHODS
Analysis of the history and management of a 64-year-old man who underwent a four-lid blepharoplasty, after which he developed horizontal diplopia.


RESULTS
The patient was found to have a restrictive esotropia. He underwent a recession of the left medial rectus on an adjustable suture, with recurrence of the same pattern of diplopia one month after surgery.


CONCLUSIONS
The involvement of the extraocular muscles as a complication of blepharoplasty is uncommon, but when it is present, it may be very difficult to treat.
Houston Eye Associates, Houston, Texas, USA. mmazow@houstoneye.com
Malcolm L
ML
Mazow
Cynthia W
CW
Avilla
Hector J
HJ
Morales
D019882:Blepharoplasty / Q000009:adverse effects*; D004172:Diplopia / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D013285:Strabismus / Q000209:etiology* / Q000601:surgery; D013536:Suture Techniques