Central retinal artery occlusion following cosmetic blepharoplasty.

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Abstract
A 70 year old white male underwent a bilateral cosmetic lower lid blepharoplasty with fat removal. A right orbital hemorrhage subsequently develolped, which resulted in the occlusion of the central retinal artery. The patient had no light perception with his right eye for about 1 h. Vision was eventually restored to 20/20 after emergency therapeutic measures. Orbital hemorrhage is the most common cause of visual loss following blepharoplasty. Visual loss secondary to blepharoplasty can be prevented in the preoperative, intraoperative and postoperative phases of surgery. Blindness as a complication of cosmetic blepharoplasty is reversible if recognized early and treated appropriately.

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