VISUAL LOSS AFTER BLEPHAROPLASTY DUE TO CENTRAL RETINAL ARTERY OCCLUSION -- A CASE REPORT

眼瞼整形手術後中央視網膜動脈阻塞造成之失明病例報告

林韋寧(Wei-Ning Lin) ； 張丞賢(Cheng-Hsien Chang)

《中華民國眼科醫學會雜誌》 55卷 (2016/12) Pp. 54-60

https://doi.org/10.30048/ACTASOS.201612_55.0009

摘要

Visual loss after cosmetic blepharoplasty is a rare but devastating complication. There are many possible causes of visual loss following blepharoplasty, with orbital hemorrhage being the most common. We present a case of unilateral permanent visual loss two days after a bilateral upper and lower eyelid blepharoplasty. Central retinal artery occlusion was the main cause of visual loss in the right eye. Blindness as a complication of cosmetic blepharoplasty can be reversible if recognized early and treated properly. Surgeons should bear in mind that there is a potential for visual loss after blepharoplasty. Early consultation with ophthalmologists is mandatory when severe orbital hemorrhage or eyelid swelling occurs.

關鍵字

visual loss ； blepharoplasty ； central retinal artery occlusion

並列摘要

眼瞼整形手術後產生失明為一稀少但非常嚴重之併發症。術後可能導致失明的原因很多，其中以眼窩出血最為常見。我們提出一個接受雙側上下眼瞼整形手術兩天後，右眼發生永久性失明的案例報告，中央視網膜動脈阻塞為主要造成失明的原因。眼瞼整形手術後造成之失明若能及早發現及早治療，是有機會可以恢復的。執刀醫師應注意眼瞼整形手術後有視力喪失之可能性，術後若出現嚴重眼窩出血或眼瞼腫，應及早照會眼科醫師做進一步評估及處理。