Late Postoperative Persistent Hemorrhage Following Müller's Muscle-Conjunctival Resection: Management With Tranexamic...

Area of Science:

• Ophthalmology
• Surgical Complications

Background:

• Ptosis, or drooping of the upper eyelid, can be addressed surgically.
• Muller muscle-conjunctival resection is a surgical technique for ptosis correction.
• Postoperative bleeding is a potential, though uncommon, complication of ocular surgery.

Purpose of the Study:

• To report a case of postoperative hemorrhage following Muller muscle-conjunctival resection.
• To discuss the potential role of nutritional supplements in postoperative bleeding.
• To evaluate the efficacy of tranexamic acid in managing this type of hemorrhage.

Main Methods:

• A case study of a 38-year-old male patient with left upper eyelid ptosis.
• Phenylephrine testing confirmed suitability for Muller muscle-conjunctival resection.
• Management of postoperative bleeding with oral tranexamic acid after hematology consultation.

Main Results:

• The patient developed recurrent, spontaneous eyelid bleeding on postoperative days 4, 5, and 6.
• No history of bleeding disorders or anticoagulant medication use was reported.
• Oral tranexamic acid administration successfully resolved the bleeding episodes.

Conclusions:

• Hemorrhage is a rare but possible complication after Muller muscle-conjunctival resection.
• The influence of nutritional supplements on bleeding risk warrants consideration.
• Tranexamic acid provides a noninvasive and effective treatment option for managing post-Muller muscle resection bleeding.