Ptosis surgery has been bleeding for 4 days. What to do? If stitches are removed, should it go back to where it was pre-surgery?
Doctor Answers 2
Bleeding 4 days after ptosis surgery
To have even red blood tinged tears 4 days after ptosis surgery seems like a lot. Blood vessels in the eyelid are very small and usually with the pressure of swelling, it should stop unless you have some kind of coagulation issue or take blood thinning medications (like Aspirin). Have you tried simply applying gentle pressure to your closed eyelids? Leaving the sutures in place should hold your incision together and help the bleeding stop. I would not have the sutures removed prematurely.
This is not your surgeons fault but it is her responsibility.
What should be done will vary depending on how briskly you are bleeding. If you have a minimal amount of redness in the tears, that is one thing. If you are having continuous bleeding from the eyelid, that is another thing. It is honestly a simple matter to take you back to surgery, anesthetize you, turn the eyelid and determine where the bleeding is coming from. Usually what is going on is the the suture has penetrated a small blood vessel associated with the eyelid. This can often be cauterized without distrubing the wound. The choice of waiting out the bleeding can work but when it is clear that it is not working, surgery is appropriate now.