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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Amniotic membrane in the surgical treatment of post-blepharoplasty diplopia
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Vol. 94. Issue 10.
Pages 504-509 (October 2019)
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Vol. 94. Issue 10.
Pages 504-509 (October 2019)
Short communication
Amniotic membrane in the surgical treatment of post-blepharoplasty diplopia
Membrana amniótica en el tratamiento quirúrgico de diplopía posblefaroplastia
H. Fernández Jiménez-Ortiza,
Corresponding author
hectorfjo@gmail.com

Corresponding author.
, R. Gómez de Liaño Sánchezb, S. Navas Péreza, I. Genol Saavedraa,c, N. Toledano Fernándeza
a Servicio de Oftalmología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
b Servicio de Oftalmología, Hospital Clínico San Carlos, Departamento de Oftalmología, Universidad Complutense de Madrid, Madrid, Spain
c Clínica Genol Cirugía y Medicina Estética, Madrid, Spain
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Tables (2)
Table 1. Pre-strabismus surgery deviation measurement in prism diopters of the 9 diagnostic gaze positions for case 1.
Table 2. Pre-strabismus surgery deviation measurement in prism diopters of the 9 diagnostic gaze positions for case 2.
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Abstract

Two consecutive cases are presented of vertical diplopia after blepharoplasty. They concern two women aged 41 and 63 years with vertical binocular diplopia after bilateral lower blepharoplasty using a trans-conjunctival approach. The diplopia was presented in both cases in the immediate postoperative period, being stable in one of the cases and pallrogressive in the other.

With the suspicion of restrictive strabismus, it was decided to explore the affected extra-ocular muscles, eliminate adhesions and coat the muscular bellies with amniotic membrane.

Post-blepharoplasty diplopia is an uncommon, but very serious complication, given the expectations of these patients. The current literature reports unsatisfactory results in its management. In this study, it is considered that the muscular covering with amniotic membrane can provide better results in the surgical management of these patients, due to its anti-inflammatory and anti-adherence effect.

Keywords:
Blepharoplasty
Diplopia
Amniotic membrane
Resumen

Presentamos dos casos consecutivos de diplopía vertical tras cirugía de blefaroplastia. Se trata de dos mujeres de 41 y 63 años que presentaron diplopía binocular vertical tras blefaroplastia inferior bilateral con abordaje transconjuntival. La diplopía se presentó en ambos casos en el postoperatorio inmediato, siendo en uno de los casos estable y en otro progresiva.

Con la sospecha de estrabismo restrictivo se planteó explorar los músculos extraoculares afectados, eliminar las adherencias y recubrimiento de los vientres musculares con membrana amniótica.

La diplopía postblefaroplastia es una complicación infrecuente pero muy grave, dadas las expectativas de estos pacientes. La literatura describe, hasta la fecha, resultados poco satisfactorios en su manejo. Consideramos que el recubrimiento muscular con membrana amniótica puede aportar mejores resultados en el manejo quirúrgico de estos pacientes, debido a su efecto antiinflamatorio y antiadherencial.

Palabras clave:
Blefaroplastia
Diplopía
Membrana amniótica

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