Red, Dry Eyes After Blepharoplasty and CO2 Laser

Question

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?

Steven H. Williams, MD · Answer

Thanks for your question -
Your description could represent a significant problem.  The issue is corneal exposure.  If you can't protect your cornea you could have significant issues with corneal abrasion that could even affect your eyesight.
The cause of this could be lower lid retraction or it could be that you had some lower lid laxity that is now exacerbated.  These issues may get better without intervention but it is critical that steps be taken to protect your eyes while things are healing.
In addition, if this is a persistent problem you may need a temporary procedure to give additional support to your lower lid or a canthopexy (a permanent procedure to tighten the lower lid).
In any case you should talk to your surgeon about these issues as soon as possible.
I hope this helps.

Anil R. Shah, MD · Answer

Any patient with dryness after a blepharoplasty should seek immediate medical advice.  Dryness after blepharoplasty can lead to a host of problems including corneal abrasion.

Lubrication with an ophthalmic recommended by your surgeon, artificial tears, and possible manual manipulation of the lower lid are some possible early solutions to dryness.

Steven Wallach, MD · Answer

It sounds like you may have lower lid restriction. When the eyes can't close well, they can get very dry. Also when a transconjunctival bleph is performed, it affects the lymphatic system, which may cause chemosis and this can lead to dry eye and redness. Use lots of lubricants, massage the lower lids, and follow carefully with your doctor.

Robert M. Freund, MD · Answer

Use Genteel eyedrops and lower lid exersizes to loosen up the scar tissue and edema.
Before you perform any procedure on your lower eyes, consult with your doctor, but I routinely tell my patients to tightly squeeze their eyes shut and hold them in place for 5 seconds. The muscle movement will tighten the lids and help squeeze out some of the fluid that weighs down the eyelids.

Kenneth R. Francis, MD, FACS · Answer

Suzy,
You undoubtedly still have swelling from your procedures.  You need to lubricate your eyes with an ophthalmic ointment at night and eye drops during the day.  You should see your surgeon for further guidance.  Good luck!

Red, Dry Eyes After Blepharoplasty and CO2 Laser

Answers (9)