Abstract
1) The authors try to further demystify the pathogenesis of blindness following blepharoplasty, especially in the light of the safety and superiority of Ornipressin as compared to Adrenaline. 2) They are strongly opposed to any intra-orbital infiltration because they believe this to be not only dangerous when it comes to vascular damage or spasm in retinal end vessels, but also completely unnecessary in obtaining sufficient anesthesia and sufficient reduction of bleeding. 3) Intra-orbital infiltrations are the more dangerous since too much is frequently used. The authors estimate that 1 or 1.5 cc of Xylocaine 2% with Ornipressin, exclusively in the subcutaneous plane, should be amply sufficient to produce both good local anesthesia and hemostasis. 4) Post blepharoplasty blindness has never been reported in the ophthalmic literature though many ophthalmic surgeons perform blepharoplasties.
Published Version
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