Mechanical Oscillopsia After Lower Eyelid Blepharoplasty With Fat Repositioning

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Title Mechanical Oscillopsia After Lower Eyelid Blepharoplasty With Fat Repositioning
Creator Sumeer Thinda, MD, Michael S. Vaphiades, DO, Louise A. Mawn, MD
Affiliation Neuro-Ophthalmology Division, The Wilmer Eye Institute; and Department of Medicine, Division of Rheumatology, the Johns Hopkins Hospital, Baltimore, Maryland
Abstract Blepharoplasty with fat repositioning is a technique used to fill the tear trough in the aging lower eyelid. We describe a patient who underwent transcutaneous lower eyelid blepharoplasty with fat repositioning who subsequently developed mechanical oscillopsia in the right eye exacerbated by facial movement. Surgical exploration revealed cicatrix between the inferior oblique muscle and the anterior superficial musculoaponeurotic system. Excision of the scar bands led to immediate amelioration of symptoms. When performing blepharoplasty with fat repositioning, it is essential to be aware of the anatomic location of the inferior oblique in the anterior inferomedial orbit to avoid incarceration of this muscle.
Subject Adipose Tissue; Older people; Blepharoplasty; Cicatrix; Female; Humans; Ocular Motility Disorders; Surgical Flaps; Treatment Outcome
OCR Text Show
Date 2013-03
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6qg2012
Setname ehsl_novel_jno
ID 227384
Reference URL https://collections.lib.utah.edu/ark:/87278/s6qg2012
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