Blepharoplasty complications

Blepharoplasty complications
		SYMPTOMS	Symptoms vary depending on complication: Undercorrection - superior visual field abnormality \| Overcorrection - ocular surface dryness/discomfort \| Infection - pain \| Bleeding - pain \| Scarring - no/minimal symptoms \| Retrobulbar hemorrhage - pain
		SIGNS	Signs vary depending on complication: Undercorrection - superior visual field defect \| Overcorrection - lagophthalmos, corneal punctate keratopathy \| Infection - redness, swelling, discharge \| Bleeding - blood \| Scarring - cicatricial tissue \| Retrobulbar hemorrhage - blood, IOP increase that can damage the optic nerve and decrease ocular perfusion resulting in a CRAO
		WORK-UP	Thorough history. Slit lamp examination
		TREATMENT
			Urgent treatment is required for RBH. Surgical decompression management is a priority: Lateral canthotomy with cantholysis \| Inferior lateral orbitomy
			Medical management may be used to reduce IOP (IV acetazolamide)
			Over- or under-correction following blepharoplasty may be addressed with further eyelid surgery
			Infections can be treated with topical and/or systemic antibiotics
		FOLLOW-UP	Daily for most complications
		ADDITIONAL LAB \| TESTS	A CT scan may be indicated in the presence of a retrobulbar hemorrhage
		ETIOLOGY	Blepharoplasty surgery
DIFFERENTIAL DX	None
NOTES	Retrobulbar hemorrhage is a sight-threatening emergency