Eyelid Surgery: Q&A
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Is Upper and Lower Eye Lid Surgery Dangerous for a Person Who Has a Dry Eye Condition and High Blood Pressure?
Perhaps only upper eye lid surgery is more advantageous for a person who suffers of dry eye? Is there a particular method for performing eye surgery for a person with dry eye condition, or is it best not to have this surgery?
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8 Doctor Answers |
Asked by
paulinchen
in plano, texas
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Blepharoplasty and Having High Blood Pressure
If you suffer from dry eye syndrome, eyelid surgery could be dangerous, especially the upper lid if too much skin and muscle are removed. The eye may not close completely. Lower lid surgery, if overdone can create a problem of scleral show or worse ectropion with the same result. A very experienced plastic surgeon may be willing to discuss your options. As far as your blood pressure is concerned, your internal or family doctor would need to clear you for surgery.
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Blepaharoplasty in patients with dry eyes and hypertension
Before performing blepharoplasty I always ask my patients about a history of dry eyes. This is important because if the patient is requesting an aggressive upper eyelid skin removal, a condition called lagopthalmos resulting in worse dry eyes may occur. Since many middle aged or older patients seeking eyelid surgery already have minor dry eye problems they are told blepharoplasty might worsen their condition. In reality this rarely occurs. Hypertension is a common medical...
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Eyelid surgery in person with hypertension
As long as blood pressure is under control, eyelid surgery is safe. Conservative blepharoplasty should not make the eyes more dry but ptosis surgery can. Please see an oculoplastic surgeon if you have any of these problems.
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Is Upper and Lower Eye Lid Surgery Dangerous for a Person Who Has a Dry Eye Condition and High Blood Pressure?
The reality is that Eyelid Surgery whether upper/lower or both surely won't make your dry eye better and could make it worse. High blood pressure places you at increased risk of post-op bleeding that can place pressure on the optic nerve if it occurs in upper eyelid surgery. Hope this helps.
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Eyelid surgery can be done in people with dry eyes, but conservatively.
The plastic surgeon needs to be careful not to remove too much skin and risk incomplete eyelid closure. Experienced plastic surgeons do this anyway. So dry eyes itself is not necessarily a deal-breaker. Your blood pressure should be controlled with medication (if it is not then getting it lowered should be your first priority), so it is not necessarily a problem either. I've attached a link to this part of my website in case you want to read more.
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Dry Eyes and Blepharoplasty
It is not dangerous to do a conservative blepharoplasty in patients with dry eyes. Most patients are already on eye drops such as Restasis. It is important for them to know that surgery might cause worsening of the dryness and they might have to use their eye drops more frequently.
Blood pressure is not an issue as long as it is well controlled by medication.
Regards
Dr. J
Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical...
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It depends...
1. High blood pressure: It depends on how high the blood pressure is. People with high blood pressure are at slightly higher risk for bleeding. With surgery around the eyes, this can be dangerous because it could compromise your vision. You doctor needs to know how high your blood pressure is, how well controlled it is with medication or otherwise.
It is not an absolute contraindication to surgery, but certainly needs to be looked into.
2. Dry eyes: An...
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Upper and lower eyelid surgery on person with dry eyes and high blood pressure
First, I'll address your question in regards to high blood pressure. Having high blood pressure would not necessarily make it impossible or even more dangerous to have upper and/or lower eyelid surgery. There are a few factors involved, such as the cause of the high blood pressure, whether it's being treated or not, and how high it is. Your overall medical condition would also be important. You would need to have a medical evaluation to determine if it would be safe...
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