Direct Corneal Injury During Radiofrequency-Assisted Upper Blepharoplasty

Mangan, Mehmet Serhat

doi:10.1097/dss.0000000000003037

Cited by 1 publication

(2 citation statements)

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“…6,7,9 Only 2 extensive partial-thickness corneal lacerations following blepharoplasty have previously been reported and attributed to a similar mechanism of injury, which led to significant vision loss due to corneal scar. 13,14 Notably, only 2 patients had a vision of 20/20 reported at follow up after management their injuries. 11,16 While the mean follow-up duration was relatively short at 2.5 months, many patients had sequelae that permanently affected vision, including corneal scarring and astigmatism, macular hole after endophthalmitis, and secondary angle closure glaucoma after anesthetic was injected intracamerally through a full-thickness corneal perforation.…”

Section: Discussionmentioning

confidence: 99%

“…After careful review of all resultant published articles (483), we identified 13 previously reported cases of corneal and scleral penetrating and perforating injuries after blepharoplasty (Table 2). 3,[6][7][8][9][10][12][13][14][15][16] In order to provide a more robust understanding of globe injuries from blepharoplasties, the 3 new cases reported above were integrated with the 13 previously reported in the literature.…”

Section: Literature Review and Analysismentioning

confidence: 99%

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Beyond the Surface: A Systematic Review of Perforating and Penetrating Globe Injuries From Blepharoplasty

Meyer,

Shoji,

Zamani

et al. 2024

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: This study aims to address the infrequent but serious complication of globe injuries in blepharoplasty. Methods: A case series of 3 patients with globe injuries postblepharoplasty is presented, along with a systematic literature review that revealed 13 previously reported cases. Quantitative and comparative analysis is described. Results: Injuries ranged from deep thermal burns to full-thickness corneal or scleral lacerations, with one instance of traumatic cataract. The median time from surgery to symptom onset was 1 day, with a concerning median delay of 7 days to presentation to an ophthalmologist. Visual outcomes were generally poor, with nearly all patients experiencing permanent visual morbidity. The systematic review revealed 3 cases of endophthalmitis following perforating scleral injuries. Comparative analysis showed no significant differences in visual outcomes between penetrating and perforating injuries. Conclusions: The findings of this study emphasize the need for increased vigilance for globe injuries that require prompt ophthalmological evaluation following blepharoplasty, especially considering the observed delay in presentation and the extent of visual morbidity. The study advocates for improved practitioner training in recognizing and managing these complications and underscores the importance of patient education regarding the potential risks and the necessity of timely postoperative care.

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