Department of Ophthalmology, University of Health Sciences, Ankara Ulucanlar Eye Training and Research Hospital, Ankara, 06250, Turkey.
Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Gazi University, Ankara, 06500, Turkey.
BMC Ophthalmol. 2024 Oct 21;24(1):464. doi: 10.1186/s12886-024-03734-w.
Upper eyelid retraction may develop due to various neurogenic, myogenic, and mechanistic causes. Although the development of lagophthalmus after rhinoplasty has been described in the literature, upper eyelid retraction after uncomplicated rhinoplasty has not been reported before.
This report presents a case of unilateral upper eyelid retraction observed six days after uncomplicated rhinoplasty. A 40-year-old female patient presented with left upper eyelid retraction on the sixth day of uncomplicated closed-approach structural rhinoplasty. The patient was able to close her eyelids completely and eye movements were normal in all directions of gaze. Anterior and posterior segment examinations were in normal range. We prescribed artificial tear drop and night-time liquid tear gel. After four weeks of conservative treatment, the upper eyelid retraction was improved without any complication. No recurrence was observed at 6-month follow-up.
This is the first case presenting with upper eyelid retraction without lagophthalmus after uncomplicated rhinoplasty. Ophthalmologists should be aware that such a complication may occur quite rarely and may regress without sequelae with conservative treatment.
上眼睑退缩可能由于各种神经源性、肌源性和机械性原因引起。虽然文献中已经描述了隆鼻术后出现睑裂闭合不全，但以前没有报道过单纯隆鼻术后出现上眼睑退缩的情况。
本报告介绍了一例单纯隆鼻术后 6 天单侧上眼睑退缩的病例。一位 40 岁女性患者在单纯闭合式结构性隆鼻术后第 6 天出现左眼上眼睑退缩。患者能够完全闭眼，眼球运动在各个方向均正常。眼前节和眼后节检查均正常。我们给予人工泪液滴眼和夜间液体泪凝胶。经过 4 周的保守治疗，上眼睑退缩得到改善，没有出现任何并发症。6 个月随访时无复发。
这是首例单纯隆鼻术后出现无睑裂闭合不全的上眼睑退缩病例。眼科医生应该意识到这种并发症可能很少发生，并且可以通过保守治疗而无需后遗症自行消退。
