title: Perilimbal needle manipulation of conjunctival chemosis after cosmetic lower eyelid blepharoplasty.
abstract: We report an effective treatment procedure for postoperative conjunctival chemosis following cosmetic lower eyelid blepharoplasty. A minimally invasive procedure was used to treat three patients who presented with chronic conjunctival chemosis following lower eyelid blepharoplasty. This procedure utilizes local anesthesia and perilimbal manipulation with a 27-gauge needle. Two months following the procedure, reduction of the chemosis was observed in all three patients. Our cases indicate that perilimbal manipulation with a 27-gauge needle is a viable treatment for this surgical complication.
authors.affiliation: Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
authors.forename: Jen-Hao
authors.initials: JH
authors.lastname: Cheng
authors.forename: Da-Wen
authors.initials: DW
authors.lastname: Lu
mesh_terms: D000328:Adult; D000772:Anesthesia, Local / Q000379:methods; D019882:Blepharoplasty / Q000009:adverse effects*; D003229:Conjunctival Diseases / Q000209:etiology / Q000601:surgery*; D004487:Edema / Q000209:etiology / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009339:Needles; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications