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Updated: Nov 28, 2025
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Published on: September 20, 2024
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Diplopia following lower blepharoplasty.
1Stein Eye Institute, Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Summary
Persistent diplopia after lower blepharoplasty occurs in a significant number of cases. This complication, affecting vision, may be more common than previously reported in medical literature.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Lower blepharoplasty is a common cosmetic procedure.
- Diplopia, or double vision, is a potential complication following eyelid surgery.
Purpose of the Study:
- To determine the frequency of persistent diplopia (>1 week) after lower blepharoplasty.
- To characterize the nature and affected muscles in cases of post-blepharoplasty diplopia.
Main Methods:
- An anonymous survey was distributed to members of the American Society of Ophthalmic Plastic and Reconstructive Surgery.
- The survey collected data on the incidence and characteristics of persistent diplopia following lower blepharoplasty.
Main Results:
- Over 50% of surveyed surgeons reported at least one case of persistent diplopia post-lower blepharoplasty.
- The inferior oblique muscle was most frequently implicated (61%), with both paretic and restrictive forms observed.
- Diplopia resolved in 73% of cases, but persisted in the primary position or other gaze positions in a notable percentage.
Conclusions:
- Persistent diplopia is a significant, potentially underreported complication of lower blepharoplasty.
- Surgeons should be aware of the possibility of prolonged diplopia and its characteristics following this procedure.
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