Horizontal Diplopia Following Upper Blepharoplasty

Ortiz-Basso, Tomás; Vigo, Rodolfo Luis; Prémoli, Eduardo Jorge

doi:10.1159/000367964

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…However, the members of the American Society of Ophthalmic Plastics and Reconstructive Surgery, who responded to a survey about persistent diplopia after lower blepharoplasty, reported that they had at least one case of persistent diplopia after lower blepharoplasty with a total rate of 23.2% with all surgeons patients’ together [ 35 ]. Most cases were vertical, but there is a case report of a 61-year-old female undergoing bilateral upper blepharoplasty who developed horizontal diplopia 24 hours later [ 36 ]. There are several causes of transient diplopia, including an edematous reaction, hematoma, trauma with muscle paralysis, and muscular toxicity from local anesthesia.…”

Section: Reviewmentioning

confidence: 99%

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Ophthalmic Complications of Periorbital and Facial Aesthetic Procedures: A Literature Review

Alharbi,

Bin Dlaim,

Alqahtani

et al. 2023

Cureus

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The emergence and popularity of cosmetic facial procedures may lead to significant ophthalmic complications such as ocular motility dysfunction and visual disability. Here, we present a scoping review to identify common ophthalmic complications in some facial plastic surgeries and cosmetic injections, and to develop clinical approaches for prophylaxis and management in terms of direct attention and awareness of non-ophthalmologists toward such scenarios and appropriate intervention. This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The following keywords were used to search PubMed, Scopus, Web of Science, and Google Scholar: “facial laser”, “facial fillers”, “facial injections”, “hyaluronic acid”, “local facial injections of botulinum toxin”, “rhinoplasty”, “blepharoplasty blindness”, “ophthalmoplegia”, “diplopia”, “ptosis”, “ophthalmic artery occlusion”, “posterior ciliary artery occlusion”, and “ocular ischemic syndrome”. A total of 37 articles published between 1989 and 2021 were included, of which 21 were case reports. The most common ophthalmic complication was vision loss (0.0008%). The risk of ophthalmic complications including ocular pain, sudden unilateral or bilateral vision loss, flashes of light, ptosis, and ophthalmoplegia increase with injection in common anatomical regions like the glabella, nose, and supraorbital and nasolabial folds. The incidence of adverse events ranges from 5% to 18% in rhinoplasty. The most common complications after blepharoplasty were dry eye syndrome and diplopia, caused by eyelid ptosis. Eyelid, cornea, lens, and retina injuries are ophthalmic complications that occur after facial laser treatment. Ophthalmic complications after non-ophthalmic and cosmetic procedures are becoming increasingly common. The cumulative reported cases of ophthalmic complications after hyaluronic acid filler injection from 2016 to 2020 showed different types of adverse events, with the most common being decreased visual acuity, unilateral vision loss, and ptosis, with varying outcomes of each complication ranging from partial resolution to complete recovery. These complications must be recognized early, and prompt treatment must be established.

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Section: Reviewmentioning

confidence: 99%

“…Lower eyelid blepharoplasty can cause torsional diplopia if the medial and central fat pads are injured. The patient was conservatively managed until no further improvements were observed [ 36 ]. Strabismus surgery is required in refractory cases.…”

Section: Reviewmentioning

confidence: 99%