Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report
Abstract Background Direct damage to the superior rectus (SR) muscle insertion following upper lid blepharoplasty has not been reported. We document a rare case of vertical diplopia due to direct damage to the SR muscle insertion following cosmetic upper lid blepharoplasty. Case presentation We desc...
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| Format: | Article |
| Language: | English |
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BMC
2018-07-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-018-0867-2 |
| _version_ | 1818254277071601664 |
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| author | Ju-Yeun Lee Kyuyeon Cho Daye Diana Choi Kyung-Ah Park Kyung In Woo Yoon-Duck Kim Sei Yeul Oh |
| author_facet | Ju-Yeun Lee Kyuyeon Cho Daye Diana Choi Kyung-Ah Park Kyung In Woo Yoon-Duck Kim Sei Yeul Oh |
| author_sort | Ju-Yeun Lee |
| collection | DOAJ |
| description | Abstract Background Direct damage to the superior rectus (SR) muscle insertion following upper lid blepharoplasty has not been reported. We document a rare case of vertical diplopia due to direct damage to the SR muscle insertion following cosmetic upper lid blepharoplasty. Case presentation We describe a case of 24-year-old woman with Asian eyelid. The patient had already undergone multiple cosmetic upper lid surgeries and complained of vertical diplopia immediately after her most recent surgery (levator resection with skin approach). Preoperatively, large-angle right hypotropia and severe upgaze limitation were present and noticeable ptosis was observed in the right eye. Intraoperatively, the SR muscle fibers were observed to be detached at the insertion site and severe fibrosis and adhesion surrounding the muscle was noted. After strabismus surgery, vertical strabismus was improved. Conclusions This case can provide valuable insight to surgeons performing ptosis surgery and blepharoplasty, particularly in cases of reoperation. Surgeons should be careful while manipulating the levator muscle or resecting deep tissues not to affect the SR muscle. |
| first_indexed | 2024-12-12T16:53:24Z |
| format | Article |
| id | doaj.art-17a460b9c192453eac76c19cd20a2697 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-12T16:53:24Z |
| publishDate | 2018-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-17a460b9c192453eac76c19cd20a26972022-12-22T00:18:18ZengBMCBMC Ophthalmology1471-24152018-07-011811410.1186/s12886-018-0867-2Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case reportJu-Yeun Lee0Kyuyeon Cho1Daye Diana Choi2Kyung-Ah Park3Kyung In Woo4Yoon-Duck Kim5Sei Yeul Oh6Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of MedicineAbstract Background Direct damage to the superior rectus (SR) muscle insertion following upper lid blepharoplasty has not been reported. We document a rare case of vertical diplopia due to direct damage to the SR muscle insertion following cosmetic upper lid blepharoplasty. Case presentation We describe a case of 24-year-old woman with Asian eyelid. The patient had already undergone multiple cosmetic upper lid surgeries and complained of vertical diplopia immediately after her most recent surgery (levator resection with skin approach). Preoperatively, large-angle right hypotropia and severe upgaze limitation were present and noticeable ptosis was observed in the right eye. Intraoperatively, the SR muscle fibers were observed to be detached at the insertion site and severe fibrosis and adhesion surrounding the muscle was noted. After strabismus surgery, vertical strabismus was improved. Conclusions This case can provide valuable insight to surgeons performing ptosis surgery and blepharoplasty, particularly in cases of reoperation. Surgeons should be careful while manipulating the levator muscle or resecting deep tissues not to affect the SR muscle.http://link.springer.com/article/10.1186/s12886-018-0867-2Superior rectusMuscle injuryBlepharoplastyUpper lid |
| spellingShingle | Ju-Yeun Lee Kyuyeon Cho Daye Diana Choi Kyung-Ah Park Kyung In Woo Yoon-Duck Kim Sei Yeul Oh Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report BMC Ophthalmology Superior rectus Muscle injury Blepharoplasty Upper lid |
| title | Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report |
| title_full | Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report |
| title_fullStr | Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report |
| title_full_unstemmed | Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report |
| title_short | Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report |
| title_sort | superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty a case report |
| topic | Superior rectus Muscle injury Blepharoplasty Upper lid |
| url | http://link.springer.com/article/10.1186/s12886-018-0867-2 |
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