CLINICAL IMAGE | VOLUME 5, ISSUE 3 | OPEN ACCESS DOI: 10.23937/2378-346X/1410089

Unusual Laser Blepharoplasty Complications: Sight and Life-Threatening!

Nazrin Nordin1* and Lott Pooi Wah2

1Department of Ophthalmology, University of Malaya, Malaysia

2Royal College of Ophthalmologists, UK

*Corresponding author: Nazrin Nordin, MD, Department of Ophthalmology, University of Malaya, Malaysia.

Accepted: August 09, 2018 | Published: August 11, 2018

Citation: Nordin N, Wah LP (2018) Unusual Laser Blepharoplasty Complications: Sight and Life-Threatening!. Int J Ophthalmol Clin Res 5:089.

Copyright: © 2018 Nordin N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

A 53-years-old woman presented with bilateral severe periorbital swelling and reduce left eye visual acuity. She had undergone laser blepharoplasty 1 week prior to presentation. Ophthalmic examination revealed both eye periorbital swelling with pouring pus discharge from lower lid with underlying erythematous and ulcerative skin, limitation of extraocular muscles and chemosis (Figure 1A). Left eye vision was counting finger (CF) secondary to anterior segment inflammation but no sign of optic nerve involvement noted. CT findings showed rim-enhancing pre-septal collections with air pockets bilaterally involving lower eyelids measuring 2.6 × 4.3 × 2.7 cm on the left and 2.3 × 4.2 × 2.8 cm on the right with extension of collection into the lateral extra-conal region (Figure 1B). The patient underwent incision and drainage and started with systemic antibiotics promptly. Patient shows significant improvement after treatment. This is unusual complications from cosmetic surgery which delay in treatment can lead to sight and life-threatening complications.

Bilateral severe periorbital swelling. View Figure 1