Corneal exposure

Robin T.W. Yuan, MD answers: Red, dry eyes after blepharoplasty and CO2 laser

I had a transconjunctival Blepharoplasty on lower lids combined with CO2 laser 15 days ago. Both lower eyelids appear to be standing away and downward from the eyeballs, and there is a dry, uncomfortable sensation. In addition, my eyes are consistently red. Is this an example of retraction, or is it too early to tell?


Robin T.W. Yuan, MD
11 months ago

The fact that you yourself have noticed that the lower eyelids are not in contact with the sclera and have fallen downward is significant. Lid retraction might be temporary but you can still damage the cornea if you have constant lagophthalmos, or inability to completely approximate the eyelids, especially at rest. A slight degree of lower lid tightening or swelling or scar retraction can produce this in certain individuals with lack of lower lid support to begin with. You need to check with your surgeon and perhaps with an eye specialist to see if you have lagophthalmos, especially when sleeping, and if you have corneal abrasions or dryness from exposure or disruption of tearing dynamics. If you cannot see your doctor right away, I would suggest using eye drops during the day and ophthalmic ointment at night as a precaution until you can see a specialist.

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