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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(4):543-546.
Published online July 1, 2011.
Corneal Abrasion Occurred during Transconjunctival Blepharoplasty in a Patient with History of LASIK Operation.
Jong In Shin, In Oh Kwon, Chang Yeon Kim
1Jo N Shin Plastic Surgery Clinic, Seoul, Korea.
2Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul, Korea. pscykim@hanyang.ac.kr
Abstract
PURPOSE
LASIK, one of the currently popular ophthalmic procedures, can sometimes result in dry eye symptoms. In the patient who had underwent LASIK operation, the periorbital surgery may be more likely to lead to such a complication as dry eye symptom. We would like to report a case of corneal abrasion occurred after transconjunctival blepharoplasty in post-LASIK state and suggest the method about preventing the complication. METHODS: A 30-year-old female patient underwent transconjunctival blepharoplasty and microfat graft into the face. She had history of LASIK operation 2 years ago. Corneal protector was applied to both eye during transconjunctival operation. After the surgery, she complained of visual blurring at left side. Ophthalmic examination revealed corneal abrasion of left eye.
RESULTS
Cornea protecting lens was applied to left eye for 2 weeks. Steroid and antibiotic eye drops were applied for relieving the symptoms and the prevention from progressing of complication. After 1 week, visual power and acuity was recovered to preoperative state. No other specific complications happened.
CONCLUSION
Post-LASIK patient may have possibility of decreased corneal sensation and tear production. Preoperative ophthalmic examination is recommended for the prevention of complication. When corneal protector is applied, we suggest Optagel(R) as a useful lubricant.
Keywords: LASIK; Transconjunctival blepharoplasty; Corneal injuries
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