PURPOSE: To report a case of horizontal diplopia after a four-lid blepharoplasty. DESIGN: Observational and interventional case report. METHODS: Analysis of the history and management of a 64-year-old man who underwent a four-lid blepharoplasty, after which he developed horizontal diplopia. RESULTS: The patient was found to have a restrictive esotropia. He underwent a recession of the left medial rectus on an adjustable suture, with recurrence of the same pattern of diplopia one month after surgery. CONCLUSIONS: The involvement of the extraocular muscles as a complication of blepharoplasty is uncommon, but when it is present, it may be very difficult to treat.
PURPOSE: To report a case of horizontal diplopia after a four-lid blepharoplasty. DESIGN: Observational and interventional case report. METHODS: Analysis of the history and management of a 64-year-old man who underwent a four-lid blepharoplasty, after which he developed horizontal diplopia. RESULTS: The patient was found to have a restrictive esotropia. He underwent a recession of the left medial rectus on an adjustable suture, with recurrence of the same pattern of diplopia one month after surgery. CONCLUSIONS: The involvement of the extraocular muscles as a complication of blepharoplasty is uncommon, but when it is present, it may be very difficult to treat.
Authors: John R Burroughs; Richard L Anderson; James R Patrinely; David A Weinberg; John D McCann; Tristan F W McMullan Journal: Semin Plast Surg Date: 2007-02 Impact factor: 2.314