Can Eye Bag Surgery Be Safe for Patients with Floaters? - Ophthalmology

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Can floaters undergo eyelid surgery?


Hello, Doctor: Two years ago, I discovered that I have floaters in both eyes.
After examination, it was determined that they were caused by high myopia, and I need to have regular check-ups.
My myopia is approximately 650 to 700 degrees, and due to a thicker cornea, my eye pressure was measured to be higher, leading to a temporary diagnosis of glaucoma for which I was prescribed eye drops for a year.
After further examinations, it was concluded that I no longer need the eye drops.
However, I naturally have bags under my eyes, which makes me look fatigued.
I would like to ask if there are any risks associated with surgery to fill the tear troughs given my symptoms, and whether it would be unsuitable for me.

Teng, 20~29 year old female. Ask Date: 2019/02/11

Dr. Cai Wenyuan reply Ophthalmology


Hello, there should be no correlation between the two.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/02/11

More Info


When considering cosmetic procedures such as eye bag surgery (also known as blepharoplasty) for patients with floaters, particularly those with a history of high myopia and other ocular conditions, it is essential to weigh the potential risks and benefits carefully.
Floaters are typically caused by changes in the vitreous gel of the eye, which can occur due to aging or conditions like high myopia. In patients with high myopia, the risk of retinal detachment and other complications is inherently higher. Therefore, any surgical procedure involving the eye area, including cosmetic surgeries, should be approached with caution.


Safety Considerations for Eye Bag Surgery in Patients with Floaters
1. Pre-existing Conditions: Given your history of high myopia (around -650 to -700 diopters) and previous concerns about intraocular pressure and glaucoma, it is crucial to consult with an ophthalmologist before proceeding with any cosmetic surgery. They can assess the current state of your eye health and determine if the surgery poses any additional risks.

2. Surgical Risks: Eye bag surgery involves manipulating the tissues around the eyes, which can potentially impact the delicate structures of the eye. While the surgery itself is generally safe, complications can arise, especially in patients with underlying eye conditions. Risks may include bleeding, infection, or changes in vision. In your case, the concern would be whether the surgery could exacerbate your floaters or lead to other complications such as retinal detachment.

3. Consultation with Specialists: It is advisable to have a thorough evaluation by both a cosmetic surgeon and an ophthalmologist. The cosmetic surgeon can provide insights into the procedure's safety and efficacy, while the ophthalmologist can assess your eye health and determine if any precautions or modifications to the surgical approach are necessary.

4. Post-operative Care: If you proceed with the surgery, following post-operative care instructions is vital. This includes avoiding activities that could strain your eyes or increase intraocular pressure, such as heavy lifting or vigorous exercise, especially in the initial recovery period.

5. Alternatives: If surgery is deemed too risky, consider non-surgical options for addressing eye bags, such as fillers or laser treatments. These alternatives may provide some cosmetic improvement without the same level of risk associated with surgical intervention.


Conclusion
In summary, while eye bag surgery can be performed safely in many patients, your specific circumstances necessitate a careful evaluation of your eye health and the potential risks involved. It is crucial to have open discussions with your healthcare providers about your concerns and to ensure that all aspects of your ocular health are considered before making a decision. Ultimately, prioritizing your eye health while addressing cosmetic concerns is essential for achieving the best outcomes.

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