Posters

Blepharoplasty: cosmetic surgery with a refractive result

Poster Details

First Author: C. Grupcheva BULGARIA

Co Author(s):    D. Grupchev   M. Radeva                 

Abstract Details

Purpose:

To describe and analyze a serious corneal complication following bilateral (4 lid) blepharoplasty by a plastic surgeon on patient with ultimate eye.

Setting:

In vivo confocal laboratory, Medical University - Varna

Methods:

A 59 years old male with complicated eye history of pathological myopia, bilateral cataract surgery (june and September 2011) both eyes and right eye vitrectomy (December 2012) following retinal detachment, decided to improve his cosmetic appearance. After the plastic procedure he had significantly decreased vision on his good eye. He was examined by ophthalmologist 6 days after the plastic surgery and was diagnosed with severe bacterial conjunctivitis and corneal foreign body.

Results:

After adequate treatment in 48 hours the infection was controlled but on biomicroscopy, although the cornea was absolutely clear, a strange linear lesion was identified. This lesion was apparently result of electro-knife touch and was a reason for very poor vision of 0.1, which would not improve even with a pin hole. Corneal topography revealed 8 diopters irregular astigmatism. Anterior OCT demonstrated structural damage of the half of corneal thickness. In vivo confocal microscopy demonstrated local area of keratocyte loss, with activation of the surrounding keratocytes. RGP lens improved vision to useful 0.9, as the fellow eye had vision of 0.4 with notable metamorphopsias.

Conclusions:

Although the complications of lower lid noninvasive blepharoplasty appear to be minimal, in the reported case corneal damage had a significant negative quality of vision and life impact. Protection of the eye surface and also extreme care for the delicate structures should be taken at all moments of surgery.

Financial Disclosure:

NONE