Open AccessMechanical Oscillopsia After Lower Eyelid Blepharoplasty With Fat Repositioning
Author(s) -
Sumeer Thinda,
Michael S. Vaphiades,
Louise A. Mawn
Publication year - 2013
Publication title -
journal of neuro-ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.586
H-Index - 55
eISSN - 1536-5166
pISSN - 1070-8022
DOI - 10.1097/wno.0b013e31827378c4
Subject(s) - blepharoplasty , eyelid , medicine , oscillopsia , surgery , orbicularis oculi muscle , anatomy , eye movement , ophthalmology
Blepharoplasty with fat repositioning is a technique used to fill the tear trough in the aging lower eyelid. We describe a patient who underwent transcutaneous lower eyelid blepharoplasty with fat repositioning who subsequently developed mechanical oscillopsia in the right eye exacerbated by facial movement. Surgical exploration revealed cicatrix between the inferior oblique muscle and the anterior superficial musculoaponeurotic system. Excision of the scar bands led to immediate amelioration of symptoms. When performing blepharoplasty with fat repositioning, it is essential to be aware of the anatomic location of the inferior oblique in the anterior inferomedial orbit to avoid incarceration of this muscle.