Delayed retrobulbar hematoma after blepharoplasty - CT and MRI findings

Purpose: To describe a case of late orbital hematoma after blepharoplasty a nd review the literature on this subject. Methods: A healthy woman developed an orbital hematoma and loss of vision 7 days after an elective blepharoplasty. Computed tomography and magnetic re sonance images of the orbits were obtained 1 day after the vascular acciden t. Results: Computed tomography and magnetic resonance images clearly demonstr ated that the site of the hemorrhage was the superior nasal fat pad. Blood from this region molded the globe and accumulated in the intraconal space b ehind the posterior sclera. The patient was successfully treated with conse rvative measures only. Conclusions: Orbital hematoma, which is the main cause of loss of vision af ter blepharoplasty, can be a late postoperative complication.