Incidence of Postblepharoplasty Orbital Hemorrhage and Associated Visual Loss

Abstract

The incidence of orbital hemorrhage associated with cosmetic eyelid surgery is 0.055% (1:2,000), and orbital hemorrhage with permanent visual loss is 0.0045% (1:22,000) [corrected] Development of orbital hemorrhage is most common within the first 24 hours after surgery, especially within the first 0 to 3 hours, but can occur as late as several days after surgery.

Delayed retrobulbar haemorrhage after Ahmed glaucoma implant: a case report

“…[3][4][5][6] Delayed onset of orbital haemorrhage can occur after cataract, strabismus, endoscopic sinus surgery, and blepharoplasty. [7][8][9][10] In our case, the delayed onset of retrobulbar haemorrhage following glaucoma implant surgery made its attribution to retrobulbar anaesthesia less likely.…”

Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

“…[6,7] The incidence of orbital haemorrhage development with blepharoplasty has been reported as 0.055% (1:2,000) and after zygomatic fracture repair as 0.3%. [12,14] The orbital space is comprised of three compartments, namely subperiosteal space, intraconal space and extraconal space. In case haemorrhage is observed in one of these compartments, the orbital space does not comply with the increase in volume.…”

“…[4][5][6][7][8][9][10][11][12] As a complication of orbital or periorbital surgery, orbital hemorrhage may develop particularly when the orbital septum is passed. [13,14] …”

Radiosurgery versus carbon dioxide laser for dermatochalasis correction in Asians

“…Bleeding with ecchymosis and hematoma are frequent complications of conventional scalpel blepharoplasty. Especially in hypertension, coagulopathies, or use of anticoagulants or aspirin, immediate postoperative hemorrhage is sufficient to cause orbital hemorrhage, visual loss, ecchymosis, and hematoma [4]. In Asians, the risk of postinflammatory hyperpigmentation (PIH) subsequent to hematoma formation is significantly higher than Caucasians.…”