[An exceptional but very serious complication of blepharoplasty. Case report]

The observation concerns a case of amaurosis which set in several hours after blepharoplasty and which was not reported by the patient before it had been discovered by examination. The haematoma was average, the eyeball showed no exophthalmos, but normal consistency and a normal fundus. Treatment was exclusively medical, but unsuccessful. The authors have studied the literature in order to obtain an idea of frequency, suggested etiologies and the treatments proposed. The preoperative arterial spasm requires medical treatment; the retro-bulbar haematoma raises the question of surgical treatment for drainage in minor cases and paracentesis in more serious cases.