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Blepharoplasty is one of the most popular cosmetic surgical procedures for people who want to maintain a youthful appearance. Compared to other cosmetic procedures such as augmentation mammoplasty, blepharoplasty can be misunderstood as simple by physicians and patients because relatively little time is required for surgery and the technique is simpler. Therefore, it is easy to find hospitals and clinics that perform blepharoplasty. The orbital and periorbital areas consist of important and complex structures, including various nerves and vessels. Therefore, specialized knowledge of periorbital anatomy is necessary to perform blepharoplasty. Without expert knowledge of this delicate procedure, the risk of complications after periorbital surgery, such as inflammation and postoperative bleeding, increases significantly. In particular, retrobulbar hematoma, which is the most serious complication after blepharoplasty, can lead to permanent blindness [1]. Retrobulbar hematoma may occur after blepharoplasty, surgery for orbital wall fracture, periorbital trauma, and periorbital anesthesia. According to a recent report, the incidence of retrobulbar hematoma is 0.055% and the resulting rate of permanent blindness is about 0.005% [1,2]. Here, we report a rare case of unilateral permanent blindness due to careless and unprofessional treatment following a retrobulbar hematoma after lower blepharoplasty. A review of the literature accompanies the case report.

Unilateral blindness due to retrobulbar hematoma after lower blepharoplasty