目的:介绍3例看似轻微和无并发症的眼睑手术后严重角膜并发症。
方法:这些病例强调了眼整形手术后角膜损伤的现实风险。
结果:第一例是一名46岁的男子,在上下眼睑双侧眼睑成形术后出现角膜穿孔,转诊至我们部门。第二例涉及一名51岁的妇女,她在去除上眼睑乳头状瘤时意外凝结角膜,第三例是一名55岁的女性,她在上眼睑成形术后角膜严重变薄并伴有视力丧失。所有患者均稳定,不需要角膜移植,尽管有明显的角膜疤痕和后遗症。
结论:虽然眼部整形手术后的并发症很少见,报道的病例表明,角膜损伤会对患者的视力和生活质量产生重大影响。可以使用诸如使用角膜护罩之类的策略来减轻这些风险,但是它们的使用存在争议。然而,勤奋的术后护理是最重要的。在术后第一次就诊时,应该进行基本的视力测量。在报告视力下降的情况下,特别是当伴有疼痛时,患者应紧急转诊接受专门的眼部护理。
OBJECTIVE: To present three cases of serious corneal complications after seemingly minor and uncomplicated eyelid surgery.
METHODS: These cases emphasize the real-world risk of corneal damage after oculoplastic surgery.
RESULTS: The first
case is a 46-year-old man referred to our department with a corneal perforation after bilateral blepharoplasty of both upper and lower eyelids. The second
case concerns a 51-year-old woman who suffered an accidental coagulation of the cornea during the removal of upper eyelid papillomas, and the third
case is a 55-year-old woman who had severe corneal thinning accompanied by visual loss after an upper lid blepharoplasty. All patients were stabilized without the need for corneal transplantation, although there were significant corneal scars and sequelae.
CONCLUSIONS: Although complications after esthetic oculoplastic surgery are rare, the reported cases show that corneal damage can have a major impact on the patient\'s vision and quality of life. Strategies such as the use of a corneal shield can be used to mitigate these risks, but their use is debated. Nevertheless, diligent postoperative care is paramount. At the first postoperative visit, a basic visual acuity measurement should be performed. In cases where reduced vision is reported, particularly when accompanied by pain, patients should be urgently referred for specialized eye care.