Abstract
The case of a patient who experienced temporary myopic change after transconjunctival blepharoplasty using the carbon dioxide (CO2) laser is reported. Transconjunctival lower lid blepharoplasty using the CO2 laser, one of the most frequent laser procedures performed in aesthetic surgery, is considered to be a safe and reliable approach that does not incur significant complications. This report describes temporary myopia in a 38-year-old woman as a rare complication after this procedure. As for the possible etiology of the postoperative myopia, the authors strongly suspect a temporary mild deformity of the eyeball leading to the change in refraction, including scleral edematization and/or retinal indentation attributable to thermal injury as a result of CO2 laser irradiation adjacent to the eyeball. The purpose of this case report is to inform others of the complication the authors encountered and to discuss the possible etiology.
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Baker SS, Muenzler WS, Small RG, Leonard JE. Carbon dioxide laser blepharoplastyOphthalmology 91:238–244, 1984
Baylis HI, Long JA, Groth MJ. Transconjunctival lower eyelid blepharoplasty Technique and complicationsOphthalmology 96:1027–1032, 1989
David LM. The laser approach to blepharoplastyJ Dermatol Surg Oncol14:741–746, 1988
Ghabrial R, Lisman RD, Kane MA, Milite J, Richards R. Diplopia following transconjunctival blepharoplastyPlast Reconstr Surg102:1219–1225, 1998
Glassberg E, Babapour R, Lask G. Current trends in laser blepharoplasty: Results of a surveyDermatol Surg 21:1060–1063, 1995
John T: The effects and action of scleral buckles in the treatment of retinal detachment. In: Stephan JR, Bert MG (eds) Retina. vol.3. 2nd ed. Mosby, Chicago. pp. 2019–2033, 1994
Perkins SW, Dyer WK II, Simo F. Transconjunctival approach to lower eyelid blepharoplasty Experience, indications, and technique in 300 patientsArch Otolaryngol Head Neck Surg120:172–177, 1994
Trelles MA, Baker SS, Ting J, Toregard BM. Carbon dioxide laser transconjunctival lower lid blepharoplasty complicationsAnn Plast Surg37:465–468, 1996
Zarem HA, Resnick JI. Expanded applications for transconjunctival lower lid blepharoplastyPlast Reconstr Surg 88:215–220, discussion 221, 1991
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Ogata, H., Kurosaka, D., Nakajima, T. et al. Myopic Change After Transconjunctival Blepharoplasty Using Carbon Dioxide Laser: Case Report. Aesth Plast Surg 29, 313–316 (2005). https://doi.org/10.1007/s00266-004-0131-4
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DOI: https://doi.org/10.1007/s00266-004-0131-4