title: 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.affiliation: New York University School of Medicine, Department of Ophthalmology, New York, New York 10016, USA.
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Teng
authors.forename: Shantan
authors.initials: S
authors.lastname: Reddy
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Wong
authors.forename: Richard D
authors.initials: RD
authors.lastname: Lisman
mesh_terms: D019882:Blepharoplasty / Q000009:adverse effects*; D001763:Blepharoptosis / Q000601:surgery; D001766:Blindness / Q000175:diagnosis / Q000209:etiology*; D003357:Cosmetic Techniques / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019315:Retrobulbar Hemorrhage / Q000150:complications* / Q000175:diagnosis; D014792:Visual Acuity