Kelly P W, May D R
Br J Ophthalmol. 1980 Dec;64(12):918-22. doi: 10.1136/bjo.64.12.918.
A case is presented of a 70-year-old white male who underwent a bilateral cosmetic lower lid blepharoplasty with fat removal. He subsequently developed a right orbital haemorrhage which resulted in the occlusion of the central retinal artery. The patient had no light perception with his right eye for approximately 1 hour, but vision was eventually restored to 20/20 after emergency therapeutic measures. There are many possible causes of visual loss following blepharoplasty, with orbital haemorrhage being the most common. Visual loss secondary to blepharoplasty can be prevented in the preoperative, intraoperative, and postoperative phases of surgery. Blindness as a complication of cosmetic blepharoplasty can be reversible if recognised early and treated appropriately. These facts must be kept in mind by all surgeons who perform blepharoplasties.
本文介绍了一例70岁白人男性患者，其接受了双侧下睑去脂美容性睑成形术。术后他出现了右眼眶出血，导致视网膜中央动脉阻塞。患者右眼大约1小时无光感，但经紧急治疗措施后视力最终恢复到了20/20。睑成形术后视力丧失有多种可能原因，眼眶出血最为常见。在手术的术前、术中和术后阶段都可以预防睑成形术继发的视力丧失。如果早期识别并适当治疗，美容性睑成形术的并发症失明是可以逆转的。所有进行睑成形术的外科医生都必须牢记这些事实。
