Blepharoplasty and blurry vision

Steven Wallach, MD answers: What causes blurry vision after blepharoplasty?

No complications occured during the procedure and I could see clearly for a week after the surgery. Now, three weeks after, my vision is extremely blurred. According to two physicians who examined me, there was no damage or infection present, only that my eyes are dry. I have been using the eyedrops and eyegel prescribed by the doctor, but my vision is still blurry. What could be causing it?


Steven Wallach, MD
10 months ago

Blurry vision 3 weeks after eye surgery is not very common. This can be due to irritation of your cornea or even from overuse of lubricating ointment during the day.  The lubricating ointment should be used at night and eye drops should be used during the day if the eyes feel dry.  Seeing an ophthalmologist is a good idea to look into the possible problem.

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A: You need to see an ophthalmologist soon

David Shafer, MD
12 months ago

It is important that you have your eyes examined. Normally, after belpharoplasty, you may have blurry vision from the ointment used to keep your eyes moist. You may then need to continue to use moisturizing drops to keep the eyes from becoming dry. Sometimes during surgery or after surgery when your eyelids are not yet protecting your eyes properly, you may get a corneal abrasion which can cause pain. However, for your vision to still be blurry three weeks after surgery is not typical. It is important that you have your eyes examined by an ophthalmologist/specialist to ensure that nothing more serious is occurring. It may seem excessive, but you don't want to mess around with your vision.

I hope this is helpful.

David Shafer, MD
Shafer Plastic Surgery
Manhattan

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A: Blurring after surgery

Robert M. Freund, MD
12 months ago

The causes of blurring after surgery include:

  1. Swelling if the eyelids that causes a distortion of the cornea - this should resolve on its own.
  2. Dryness as a result of swelling of the eyelids. The lids do not distribute the tear film evenly across your eye , thereby distorting your vision. You may see additional tearing but still feel dry. This should, also resolve as the swelling resolves.
  3. Dryness as a result of eyelids that do not close normally. This can be the result of post-operative swelling or more ominously the result of too much eyelid tissue removed during the surgical procedure. This last problem is a problem.
  4. Too much eye lubrication can also make you blurry.

As all the other doctors who commented here, go see an Opthalmologist ASAP. Ask about all of the issues I described above.Best of Luck. Robert M. Freund, MD

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A: Gel only at night

Kenneth R. Francis, MD
12 months ago

Hopefully, the two physicians that examined you were ophthalmologists.  If you are using the gel during the day, this could account for your blurred vision, especially if there is a relationship between when you started the gel and the blurriness.  Use the drops 4-5 times a day and the gel only at night.  Follow up with your surgeon and let him/her know your complaints and good luck!

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