Changes in visual acuity are not uncommon following blepharoplasty. There are several possible causes for changes in vision following this type of surgery. These can include the use of ointments following surgery, dry eyes following surgery, and eyelid skin tightness which can change the curvature of the cornea.
Blurred vision can result from the use of topical ointments, which are used for a variety of reasons in the postoperative period. In our experience, the use of eye ointment is the most common cause of blurred vision following blepharoplasty. For these reasons, we recommend the use of ointment at night and drops during the day.
Eye dryness following blepharoplasty can also contribute significantly to vision changes following this type of surgery. This is typically treated with eye lubricant. Usually, eye drops are used during the day and longer lasting ointments are used at night.
Finally, tightness of the eyelids against the globe can affect the curvature of the cornea and cause refractory changes. This can be made worse when significant swelling is present.
When vision changes occur following blepharoplasty, it’s appropriate to consult an ophthalmologist. With appropriate management of these symptoms, vision usually returns to normal in a matter of weeks.
In the first 24-48 hours following blepharoplasty surgery, we recommend cold compresses. Our primary concern during this time period is bruising and swelling. We feel that cold causes the small blood vessels in the eyelids to constrict. This potentially minimizes bleeding and swelling and makes patients more comfortable in the early postoperative period.
After 48 hours, we feel that the impact of cold compresses on bleeding and swelling is minimal. Despite this, many patients continue to use cold compresses because they find them soothing.
Swelling and bruising are potentially significant problems in the postoperative period. We therefore utilize cold compresses, elevation of the head, and avoidance of strenuous activities that can increase blood pressure. When these steps are taken, patients have lower complication rates and a more comfortable recovery.
