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Diplopia following cosmetic surgery.
1Department of Ophthalmology and Visual Sciences and Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
The American Orthoptic Journal
|September 26, 2012
Summary
Cosmetic blepharoplasty can rarely cause double vision (diplopia) due to injury to eye muscles. Surgeons must use caution during fat removal and cautery to prevent this complication.
Area of Science:
- Ophthalmic Plastic Surgery
- Cosmetic Surgery
Background:
- Cosmetic blepharoplasty is a frequent plastic surgery procedure.
- Complications include ectropion, infection, and rarely, diplopia.
Purpose of the Study:
- To evaluate causes of diplopia after cosmetic blepharoplasty.
- To discuss preventative measures and management strategies.
Main Methods:
- Review of case reports and series on diplopia post-blepharoplasty.
- Analysis of potential causes: aggressive fat excision, inflammation, muscle trauma.
Main Results:
- Diplopia is an uncommon but reported complication.
- The inferior oblique muscle is most susceptible to injury.
- Other muscles like inferior rectus and superior oblique can also be affected.
Conclusions:
- Surgeons should exercise caution during fat dissection and use direct visualization.
- Meticulous cautery is crucial to prevent extraocular muscle injury.
- Diplopia management includes prisms, filters, or surgical intervention if conservative measures fail.
