Problems and pitfalls in blepharoplasty

Complications during or after blepharoplasty operations are described. These range from errors in assessing the patient's psychological state and the state of their health, through the more common physical sequelae of bleeding with haematoma formation, ectropion, hypertrophy of scars, etc., to complications affecting the function of the eye itself. The possibility of blindness arising as a result of blepharoplasty surgery is discussed, as are the theories of its causation, and the steps which may be taken to avert permanent loss of vision.