Post-Eyelid Surgery Focus Issues: When to See an Eye Specialist? - Ophthalmology

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Post-operative focus issues after lower eyelid surgery?


Hello Dr.
Liang,
I underwent transconjunctival blepharoplasty a month ago, but one eye developed a hematoma the day after the surgery, swelling to the point where I couldn't open it.
The swelling has since subsided, but I still feel some hardness in the lower eyelid, which slightly obstructs my downward vision.
As the swelling has decreased and my condition has become more visible, I've noticed an issue with focusing at eye level (I can focus normally above eye level).
When I try to focus, I often experience dizziness and eye fatigue, but I have no issues with moving my eyes up, down, left, or right, or with monocular fixation.
During my follow-up appointment for the eye bags, the doctor mentioned that it will take more time to heal.
Should I see an ophthalmologist for further evaluation?

Ru Ru, 40~49 year old female. Ask Date: 2024/01/20

Dr. Liang Ce reply Ophthalmology


I recommend that you discuss the above situation further with your attending physician.
Wishing you good health.
Thank you!

Reply Date: 2024/01/20

More Info


After undergoing eyelid surgery, it's not uncommon to experience some visual disturbances, especially if there were complications such as hematoma (blood accumulation) that occurred post-operatively. In your case, the presence of a hard feeling in the lower eyelid, slight obstruction of your downward vision, and difficulty focusing at eye level are all symptoms that warrant further evaluation.

Firstly, it’s important to understand that the healing process after eyelid surgery can vary significantly from person to person. The swelling and bruising you experienced can affect the surrounding tissues, including the muscles and nerves that control eye movement and focus. This can lead to temporary issues such as blurred vision or difficulty focusing, particularly at certain angles, as you described.
The fact that you can focus normally when looking up or to the sides suggests that your eye muscles are functioning well in those positions, but the discomfort and difficulty at eye level could indicate that the healing process is still ongoing. It’s also possible that the hard feeling in your lower eyelid is related to the healing of the tissue or even scar formation, which can sometimes affect how the eyelid functions.

Regarding your symptoms of dizziness and eye fatigue when trying to focus, these could be attributed to several factors. One possibility is that your eyes are straining to compensate for the altered visual input due to the swelling or changes in the eyelid structure. This strain can lead to discomfort and fatigue, particularly if your eyes are not aligning properly or if there is any residual swelling affecting your vision.

Given these considerations, it is advisable to follow up with an eye specialist, especially if your symptoms persist or worsen. An eye doctor can perform a comprehensive examination to assess your visual acuity, eye alignment, and the overall health of your eyes. They may also check for any underlying issues that could be contributing to your symptoms, such as dry eye syndrome, which can be exacerbated after surgery, or any complications related to the surgery itself.

In addition, if you are experiencing significant discomfort, persistent dizziness, or if your vision does not improve over time, these are all indicators that further evaluation is necessary. The eye specialist may recommend specific treatments or therapies to help alleviate your symptoms and support your recovery.

In summary, while some degree of visual disturbance can be expected after eyelid surgery, especially with complications like hematoma, it is crucial to monitor your symptoms closely. If you continue to experience difficulty focusing, dizziness, or any other concerning symptoms, do not hesitate to seek a consultation with an eye specialist. They can provide the necessary assessments and interventions to ensure your eyes heal properly and your vision returns to normal. Remember, your health and comfort should always be a priority, and timely follow-up care is essential in the recovery process.

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