Bilateral acute angle-closure glaucoma after blepharoplasty

A 54-year-old man had bilateral acute angle-closure glaucoma that resulted in severe loss of vision in both eyes the day after undergoing uneventful upper eyelid blepharoplasty. Acute angle-closure glaucoma is a rare, but potentially blinding complication after uneventful eyelid surgery. In the literature only four previous cases have been reported to our knowledge. Moreover blepharoplasty is frequently performed by plastic surgeons and dermatologists who are unaware of this serious complication. Considering that immediate appropriate therapy may reverse the angle closure and thus prevent visual loss, a better awareness and prompt recognition of this condition is imperative.