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Related Experiment Videos

Retrobulbar hematoma and blepharoplasty.

F G Wolfort1, T E Vaughan, S F Wolfort

  • 1Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass., USA.

Plastic and Reconstructive Surgery
|January 10, 2001
PubMed
Summary

Retrobulbar hematoma after blepharoplasty is a rare complication causing vision loss. It is likely caused by vessel rupture during anterior orbital fat removal, leading to optic nerve ischemia.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery

Background:

  • Retrobulbar hematoma is a rare but serious complication of blepharoplasty.
  • Visual impairment can result from this complication.

Purpose of the Study:

  • To review the etiology, prevention, and management of retrobulbar hematoma after blepharoplasty.
  • To summarize recent research on this topic.

Main Methods:

  • Literature review of existing studies on blepharoplasty complications.
  • Summary of animal and human research.

Main Results:

  • Anterior orbital fat removal, vessel traction, and rupture are the leading causes of retrobulbar hematoma.
  • Optic nerve ischemia is the probable cause of visual impairment.

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Conclusions:

  • Recommendations for avoidance and management of acute retrobulbar hematoma are provided.
  • Understanding the etiology is key to prevention.