Document Detail


Blindness following cosmetic blepharoplasty--a review.
MedLine Citation:
PMID:  3516289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of unilateral blindness following cosmetic blepharoplasty is reported. A review of some 60 previously recorded cases is made with a more detailed analysis of 22 cases. An attempt has been made to highlight the opinions on causes and treatment held in common by those authors who have previously reported and discussed their cases. A degree of retrobulbar haemorrhage was a feature common to most cases and the final event leading to permanent visual impairment was usually ischaemia of retinal or optic nerve tissue. The relationship between these findings remains uncertain although intra-orbital compression was thought to be a frequent common pathway. Recommendations to reduce the chance of this rare but serious complication are made. The importance of simple pre-operative eye records and the early involvement of an ophthalmic surgeon when retrobulbar haemorrhage arises are stressed.
Authors:
P J Mahaffey; A F Wallace
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  British journal of plastic surgery     Volume:  39     ISSN:  0007-1226     ISO Abbreviation:  Br J Plast Surg     Publication Date:  1986 Apr 
Date Detail:
Created Date:  1986-06-09     Completed Date:  1986-06-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984714R     Medline TA:  Br J Plast Surg     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  213-21     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anesthesia, General
Blindness / etiology*,  prevention & control
Epinephrine / adverse effects
Eyelids / surgery*
Female
Hemorrhage / etiology,  therapy
Humans
Ischemia / complications
Male
Middle Aged
Optic Nerve / blood supply
Postoperative Complications / prevention & control,  therapy
Retinal Vessels
Surgery, Plastic*
Chemical
Reg. No./Substance:
51-43-4/Epinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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