PubMed · 15031185
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C-C Yip, R A Goldberg, T L Cook, J D McCann. 2004. Incision-less frontalis suspension.. https://doi.org/10.1136/bjo.2003.028415
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PURPOSE: To report a case of horizontal diplopia after a four-lid blepharoplasty. DESIGN: Observational and interventional case report. METHODS: Analysis of the history and management of a 64-year-old man who underwent a four-lid blepharoplasty, after which he developed horizontal diplopia. RESULTS: The patient was found to have a restrictive esotropia. He underwent a recession of the left medial rectus on an adjustable suture, with recurrence of the same pattern of diplopia one month after surgery. CONCLUSIONS: The involvement of the extraocular muscles as a complication of blepharoplasty is uncommon, but when it is present, it may be very difficult to treat.