Putterman A M
Am J Ophthalmol. 1975 Dec;80(6):1081-3. doi: 10.1016/0002-9394(75)90339-6.
A patient who underwent a cosmetic blepharoplasty suffered a retrobulbar hemorrhage with no light perception deception detected when the dressing was removed two hours postoperatively. Opening the incision site led to the complete return of visual acuity and ocular motility and relief of the proptosis. The rebleeding of cauterized blood vessels may have caused the retrobulbar hemorrhage and seems to be a potential problem in all cosmetic blepharoplasties. Eliminating the use of postoperative bandages may prevent blindness after cosmetic blepharoplasty since it allows early detection of a retrobulbar hemmorrhage. This allows the nurse to check the patient for loss of vision and proptosis at ten-minute intervals for the first two hours after surgery so immediate treatment can be implemented if retrobulbar hemorrhage and central retinal artery occlusion occur.
一名接受了美容性眼睑成形术的患者在术后两小时拆除敷料时出现球后出血，但未检测到光感丧失假象。打开切口部位后，视力和眼球运动完全恢复，眼球突出症状缓解。烧灼血管的再出血可能导致了球后出血，这似乎是所有美容性眼睑成形术中的一个潜在问题。在美容性眼睑成形术后不使用术后绷带可能会预防失明，因为这样可以早期发现球后出血。这使得护士能够在术后的头两个小时每隔十分钟检查患者的视力丧失和眼球突出情况，以便在发生球后出血和视网膜中央动脉阻塞时能够立即进行治疗。
