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Diplopia following blepharoplasty.

R S Hayworth, R D Lisman, R S Muchnick

    Annals of Ophthalmology
    |May 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Extraocular muscle palsy, a rare complication of blepharoplasty, can cause double vision (diplopia). This condition, potentially due to muscle contracture after swelling and bleeding, may not resolve spontaneously.

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    Area of Science:

    • Ophthalmology
    • Plastic Surgery

    Background:

    • Blepharoplasty is a common cosmetic surgical procedure.
    • Complications, though rare, require thorough investigation.

    Observation:

    • A review of 920 blepharoplasties identified three cases of diplopia.
    • Only one case showed spontaneous resolution within two months.

    Findings:

    • Extraocular muscle palsy is a rare but significant complication following blepharoplasty.
    • The proposed mechanism involves Volkmann type contracture secondary to post-operative edema and hemorrhage into the extraocular muscle sheath.

    Implications:

    • This highlights the importance of recognizing and managing potential neurological complications after blepharoplasty.
  • Further research may be needed to elucidate the exact pathophysiology and develop preventative strategies.