Widening Aging Eyes and Ending Outdoor Tearing with Retrobulbar Injections of Dermal Fillers
Background:. As people age, the intraorbital fat may diminish and palpebral fissures may narrow, causing the eyes to increasingly tear outside in cold weather. As the bulbus recedes from the conjunctiva, a “wind trap” is formed in the lateral corner of the eye. This wind trap appears to irritate the...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-02-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004811 |
| _version_ | 1797894203962818560 |
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| author | Gottfried Lemperle, MD, PhD Katja Kassem-Trautmann, MD, FMH Katarzyna Schmidt, MD |
| author_facet | Gottfried Lemperle, MD, PhD Katja Kassem-Trautmann, MD, FMH Katarzyna Schmidt, MD |
| author_sort | Gottfried Lemperle, MD, PhD |
| collection | DOAJ |
| description | Background:. As people age, the intraorbital fat may diminish and palpebral fissures may narrow, causing the eyes to increasingly tear outside in cold weather. As the bulbus recedes from the conjunctiva, a “wind trap” is formed in the lateral corner of the eye. This wind trap appears to irritate the adjacent lacrimal gland. In this article, an 84-year-old patient experienced annoying outdoor tearing despite having undergone three tarsal strip canthopexies during the past 20 years.
Methods:. Retrobulbar injections of 3.5-mL high-viscous dermal fillers (Bellafill or Radiesse) pushed the eyeballs forward, aligned the bulbus with the conjunctiva, and closed the wind trap behind the lateral canthus. Magnetic resonance imaging confirmed the filler material in the posterior lateral corner of the orbit.
Results:. The effect was immediate: the patient’s constant outdoor tearing had resolved after the first treatment of his senile enophthalmos. In addition, the narrow palpebral fissure had widened by 2 mm and rejuvenated his aging eyes.
Conclusions:. An eyeball that has receded with age can be pushed forward with a retrobulbar injection of a long lasting dermal filler to reattach to the eyelids. |
| first_indexed | 2024-04-10T07:05:07Z |
| format | Article |
| id | doaj.art-8ff45a8514224870ad8b032b89a54644 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-10T07:05:07Z |
| publishDate | 2023-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-8ff45a8514224870ad8b032b89a546442023-02-27T09:02:01ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-02-01112e481110.1097/GOX.0000000000004811202302000-00027Widening Aging Eyes and Ending Outdoor Tearing with Retrobulbar Injections of Dermal FillersGottfried Lemperle, MD, PhD0Katja Kassem-Trautmann, MD, FMH1Katarzyna Schmidt, MD2From * Private Practice, Frankfurt am Main, Germany† Plastic Surgery Zug, Zug, Switzerland‡ University Eye Hospital, Frankfurt am Main, Germany.Background:. As people age, the intraorbital fat may diminish and palpebral fissures may narrow, causing the eyes to increasingly tear outside in cold weather. As the bulbus recedes from the conjunctiva, a “wind trap” is formed in the lateral corner of the eye. This wind trap appears to irritate the adjacent lacrimal gland. In this article, an 84-year-old patient experienced annoying outdoor tearing despite having undergone three tarsal strip canthopexies during the past 20 years. Methods:. Retrobulbar injections of 3.5-mL high-viscous dermal fillers (Bellafill or Radiesse) pushed the eyeballs forward, aligned the bulbus with the conjunctiva, and closed the wind trap behind the lateral canthus. Magnetic resonance imaging confirmed the filler material in the posterior lateral corner of the orbit. Results:. The effect was immediate: the patient’s constant outdoor tearing had resolved after the first treatment of his senile enophthalmos. In addition, the narrow palpebral fissure had widened by 2 mm and rejuvenated his aging eyes. Conclusions:. An eyeball that has receded with age can be pushed forward with a retrobulbar injection of a long lasting dermal filler to reattach to the eyelids.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004811 |
| spellingShingle | Gottfried Lemperle, MD, PhD Katja Kassem-Trautmann, MD, FMH Katarzyna Schmidt, MD Widening Aging Eyes and Ending Outdoor Tearing with Retrobulbar Injections of Dermal Fillers Plastic and Reconstructive Surgery, Global Open |
| title | Widening Aging Eyes and Ending Outdoor Tearing with Retrobulbar Injections of Dermal Fillers |
| title_full | Widening Aging Eyes and Ending Outdoor Tearing with Retrobulbar Injections of Dermal Fillers |
| title_fullStr | Widening Aging Eyes and Ending Outdoor Tearing with Retrobulbar Injections of Dermal Fillers |
| title_full_unstemmed | Widening Aging Eyes and Ending Outdoor Tearing with Retrobulbar Injections of Dermal Fillers |
| title_short | Widening Aging Eyes and Ending Outdoor Tearing with Retrobulbar Injections of Dermal Fillers |
| title_sort | widening aging eyes and ending outdoor tearing with retrobulbar injections of dermal fillers |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004811 |
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