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Mechanical Oscillopsia After Lower Eyelid Blepharoplasty With Fat Repositioning

Thinda, Sumeer MD; Vaphiades, Michael S. DO; Mawn, Louise A. MD

Journal of Neuro-Ophthalmology: March 2013 - Volume 33 - Issue 1 - p 71–73
doi: 10.1097/WNO.0b013e31827378c4
Clinical Observation

Abstract: Blepharoplasty with fat repositioning is a technique used to fill the tear trough in the aging lower eyelid. We describe a patient who underwent transcutaneous lower eyelid blepharoplasty with fat repositioning who subsequently developed mechanical oscillopsia in the right eye exacerbated by facial movement. Surgical exploration revealed cicatrix between the inferior oblique muscle and the anterior superficial musculoaponeurotic system. Excision of the scar bands led to immediate amelioration of symptoms. When performing blepharoplasty with fat repositioning, it is essential to be aware of the anatomic location of the inferior oblique in the anterior inferomedial orbit to avoid incarceration of this muscle.

Vanderbilt Eye Institute (ST, LAM), Vanderbilt University Medical Center, Nashville, Tennessee

Department of Ophthalmology (MSV), University of Alabama, Birmingham, Alabama.

Address correspondence to Louise A. Mawn, MD, Vanderbilt Eye Institute, 2311 Pierce Avenue, Nashville, TN 37232; E-mail:

Supported in part by a Research to Prevent Blindness unrestricted grant to the Vanderbilt Eye Institute, Physician Scientist Award to L.A. Mawn and the University of Alabama at Birmingham Department of Ophthalmology. The authors have no financial interest in any material discussed in this manuscript.

The authors report no conflicts of interest.

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© 2013 by North American Neuro-Ophthalmology Society