I had an upper blepharoplasty 5 weeks ago. I have had constant burning & stinging in my eyes since. I use Systane lubricating drops all day and Systane ointment at night-I reapply it in the middle of the night. I have tried Muro 128 drops because I read that it could help but it didn't. I don't see any kind of nerve or vision changes/damage. I'm getting so worried-if this is normal and will go away eventually, that's fine. I would appreciate any reassurance and/or advise. Thank you
July 21, 2016
Answer: Eye pain and stinging after blepharoplasty this is unusual after blepharoplasty and you should be evaluated by an ophthalmologist who can make sure that there is no corneal abrasion or ulcer. I would not wait any longer either as it has been over a month with such symptoms and most corneal abrasions resolve fairly quickly as long as the offending factor has been removed. Ideally, ask your plastic surgeon to refer you to an ophthalmologist who has a good understanding of what was done.
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July 21, 2016
Answer: Eye pain and stinging after blepharoplasty this is unusual after blepharoplasty and you should be evaluated by an ophthalmologist who can make sure that there is no corneal abrasion or ulcer. I would not wait any longer either as it has been over a month with such symptoms and most corneal abrasions resolve fairly quickly as long as the offending factor has been removed. Ideally, ask your plastic surgeon to refer you to an ophthalmologist who has a good understanding of what was done.
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July 19, 2016
Answer: Post blepharoplasty ocular irritation Hi there. Greetings from the UK! The first thing I would recommend you do is see an ophthalmologist. It's normal to get a bit of minor irritation still especially in the mornings due to residual postoperative swelling causing conjunctival chemosis at 5 weeks but this is typically worse on waking and resolves after an hour or so. What you're describing sounds like mild exposure keratopathy which is essentially drying out of the ocular surface. Typically it's caused by lagophthalmos (inadequate closure of the eyelid). Lubricants that I tend to prescribe in the UK are hyloforte which is a hyalauronate based lubricant which can be used as often as you so wish. In the US you could something like Optive fusion. For the night time I'd recommend something really viscous such as Xailin Night or Lacrilube. For a permanent cure though, treatment depends on what the cause is. You may get away with having some punctal plugs inserted to try and improve ocular surface hydration and an ophthalmologist should be able to do this for you as an office procedure. Rarely though you might need further surgery improve closure and this depends on what the cause is e.g. over aggressive skin excision from the blepharoplasty in which you might need a skin graft. You'd probably be best seeing an oculoplastic surgeon who'll be able to sort out everything for you as they are trained as ophthalmologists and would be able to offer you revisional surgery if required. Either way if it doesn't resolve I'd definitely recommend seeing a good ophthalmologist/ oculoplastic surgeon first. Good Luck. David
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July 19, 2016
Answer: Post blepharoplasty ocular irritation Hi there. Greetings from the UK! The first thing I would recommend you do is see an ophthalmologist. It's normal to get a bit of minor irritation still especially in the mornings due to residual postoperative swelling causing conjunctival chemosis at 5 weeks but this is typically worse on waking and resolves after an hour or so. What you're describing sounds like mild exposure keratopathy which is essentially drying out of the ocular surface. Typically it's caused by lagophthalmos (inadequate closure of the eyelid). Lubricants that I tend to prescribe in the UK are hyloforte which is a hyalauronate based lubricant which can be used as often as you so wish. In the US you could something like Optive fusion. For the night time I'd recommend something really viscous such as Xailin Night or Lacrilube. For a permanent cure though, treatment depends on what the cause is. You may get away with having some punctal plugs inserted to try and improve ocular surface hydration and an ophthalmologist should be able to do this for you as an office procedure. Rarely though you might need further surgery improve closure and this depends on what the cause is e.g. over aggressive skin excision from the blepharoplasty in which you might need a skin graft. You'd probably be best seeing an oculoplastic surgeon who'll be able to sort out everything for you as they are trained as ophthalmologists and would be able to offer you revisional surgery if required. Either way if it doesn't resolve I'd definitely recommend seeing a good ophthalmologist/ oculoplastic surgeon first. Good Luck. David
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