Eye pain/stinging 5 weeks after blepharoplasty.
Doctor Answers 5
Post op blepharoplasty
Eye pain and stinging after blepharoplasty
Eye pain after blepharoplasty
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Reassurance is not appropriate. You need to be seen by an ophthalmologist.
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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