Membrana amniótica en el tratamiento quirúrgico de diplopía posblefaroplastia

  1. H. Fernández Jiménez-Ortiz 1
  2. R. Gómez de Liaño Sánchez 24
  3. S. Navas Pérez 1
  4. I. Genol Saavedra 13
  5. N. Toledano Fernández 1
  1. 1 Hospital de Fuenlabrada
    info

    Hospital de Fuenlabrada

    Fuenlabrada, España

    ROR https://ror.org/04scbtr44

  2. 2 Hospital Clínico San Carlos de Madrid
    info

    Hospital Clínico San Carlos de Madrid

    Madrid, España

    ROR https://ror.org/04d0ybj29

  3. 3 Clínica Genol Cirugía y Medicina Estética, Madrid, España
  4. 4 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

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Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2019

Volume: 94

Issue: 10

Pages: 504-509

Type: Article

DOI: 10.1016/J.OFTAL.2019.05.008 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

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 progressive 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.

Data source: Dialnet