Orbital hemorrhage during blepharoplasty associated to tricyclic antidepressant: case report
International Journal of Development Research
Orbital hemorrhage during blepharoplasty associated to tricyclic antidepressant: case report
Received 19th August, 2022; Received in revised form 20th August, 2022; Accepted 04th September, 2022; Published online 30th September, 2022
Copyright © 2022, Linda Guakil-Sakruka et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
A 49-year-old woman with a history of amitriptyline use for migraine headache, had a bilateral retrobulbar hemorrhage during cosmetic upper and lower eyelid blepharoplasty. After performing lateral canthotomy and cantholysis, and IV mannitol, intraocular pressure returned to normal and vision improved from counting fingers to 20/20 in the right eye, and from 20/80 to 20/20 in the left eye. The patient had no permanent visual loss. Retrobulbar hemorrhage is a rare but serious complication of blepharoplasty, with an overall incidence of 0.055%. The majority of retrobulbar hemorrhages after blepharoplasty develop within the first 24 hours after surgery, but have been reported to occur as late as 7 days after surgery. We present the case of a patient who developed a retrobulbar hemorrhage during cosmetic blepharoplasty, secondary to amitriptyline use.
