CASE REPORT OF EYE LID AND ORBITAL HEMORRHAGE AFTER COSMETIC SURGERY

Thanh Nam Nguyễn

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Abstract

Purpose: Diagnosis and management eyelid orbital hemorrhage and predict the ability to restore vision and aesthetics in the future. The phenomenon of eyelid orbital hemorrhage occurs due to many mechanisms, causing increased pressure in the orbit and affecting the optic nerve. We report a clinical case of eyelid and orbital hemorrhage following lower blepharoplasty, causing complete permanent vision loss. Method: A case report. Results: Female patient, 51 years old, hospitalized because of eyelid - orbital hemorrhage in the left eye following lower blepharoplasty. Preoperative visual acuity in the left eye was no light perception. The patient underwent surgery to drain the hematoma. Visual acuity in the left eye immediately after surgery was no light perception. After 1 week, vision in the left eye did not improve. We consider this to be one of the rare clinical cases in the world medical literature, post-operative vision does not recover. Conclusion: If severe eyelid orbital hemorrhage occurs, the possibility of recovering vision is low. We recommend instructing patients and their families on post-operative care, accurately and quickly diagnosing eyelid orbital hemorrage, then implementing appropriate treatment and management methods, to prevent permanent vision loss.

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References

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