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chemosis worsening after upper and lower blepharoplasty

chemosis worsening after upper and lower blepharoplasty

Postby lmg1213 » Thu Jan 12, 2006 7:47 pm

I am 10 days post op and have chemosis (swelling of the white part) in my left eye. It looks like a blister almost - bulging and full of fluid. Not exactly painful but uncomfortable and interfering with vision. It started in my right but that has heals\ed and has since become a problem in my left eye. I am using the steroid drops and trying to keep it closed and putting cool cloths on it, but every day it gets worse. The PS doesn't seem too concerned. Any info? I haven't been able to tun up any good news online. There are a few accounts of it lasting months. Does it hurt vision after a time? Can it stay with you forever? I am getting pertty worried. I see my PS again in 4 days.

Thanks in advance for any info
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Postby suska » Fri Jan 13, 2006 5:48 am

I also developed chemosis. It was barely noticeable the first week after surgery, but it was just awful the second and third week! I would wake up each morning and run to the mirror only to find my eyes were still big and glassy looking. After two weeks it was completely gone. Keep using your steroid drops and you should see a difference soon!
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Postby natasha1 » Fri Jan 13, 2006 7:14 pm

Hang in there/I am 8 mopnths after and still get it from time to time but less then it was before.
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Postby lmg1213 » Fri Jan 13, 2006 10:41 pm

YIKES! 8 mos? Really? My Doc called me today - he said the worst case he ever dealt with lasted a month. Doesn't it drive you crazy? Maybe when the rest is healed better it won't bother me so much, but right now - I'ts really uncomfortable.

You sound pretty relaxed about it. Hope you heal soon.
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Postby elle47 » Sat Jan 14, 2006 7:23 am

I'm nearly 4 months post op and still have chemosis in my left eye. I started to notice it about two weeks after my surgery. I tried the steroid drops for a couple of months, but my eye doctor took me off of them because I have glaucoma in my family, and the steroid drops can cause glaucoma. At two months I was given a non-steroid drop called, Nevanac, a drop given to cataract patients, which seemed to be working. But after about a month the chemosis got worse again. I only have it in my left eye. I manage it with upward massage, for about 20 seconds at a time, 4 times a day. I'm still using the Nevanac drops twice a day. The massage is really important, because it "milks" the liquid from the eye, and reduces the watery appearance and pressure a lot. I've been told there is nothing else to do but wait. If you don't have other problems as a result of your surgery (such as eyes that won't close), supposedly, chemosis will eventually resolve on its own within 5 months. Most people seem to get over it in a couple of weeks. That's what the literature says. I'm hoping, but at this point, it's kind of hard for me to believe it's ever going to go away. It's weird because there's not much information about treatment on the internet, and the PS's don't have much to say about it. One doctor (I found this on the internet) did recommend doing something called a "frost" stich, either right after surgery, or later in the case of ongoing chemosis. Try googling "frost stitch" with chemosis, and I'm sure that info will come up. It is annoying. Makes your eyes feel senstive and watery. And it doesn't look great.. Can't wait for mine to clear up. Good luck.. hope yours heals quickly -- it probably will.
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How long your chemosis finaly go away?

Postby hopegetluck » Sun Apr 12, 2009 9:45 am

I am 4 months now. Still chemosis. Better in the evening but worse in the morning after I get sleep. Chemosis seems to will stay there forever for me.
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Postby noesis » Sun Apr 12, 2009 4:32 pm

Has anyone's doctor explained how a blepharoplasty could cause a chemosis? It's generally a viral/bacterial pinkeye or an allergy response as I understand it. Pinkeye usually lasts no longer than a week? If it continued for any extended time then maybe it's an allergy, and the ointment used to get rid of it might be aggravating the condition?
Last edited by noesis on Sun Apr 12, 2009 8:55 pm, edited 2 times in total.
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Postby valleyofthesun » Sun Apr 12, 2009 6:45 pm

chemosis is a "minor" side effect that many websites will tell you can happen. Most say it's gone in 2-3 weeks. I had it for 5 months in outer corners. The steroid drops are very potent and I could only use them every other week. It is annoying at best and uncomfortable at worst. I was telling people I had allergies when they asked about why my eyes looked irritated. We have all learned by now that doctors downplay the risk of getting these complications and then downplay the length of time you will have them.

The thing about chemosis though is that it WILL go away. All the best!
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Re: chemosis worsening after upper and lower blepharoplasty

Postby chemosis » Wed Nov 16, 2011 6:39 pm

I'm going on 6 weeks after upper and lower lid surgery. I've got chemosis in my left eye, and a little still in my right. My plastic surgeon is an opthomologist and gave me steriod shots, steriod drops, ointment, and I've been back 3 times. Still not better, and I really felt irritation from the steriod drops.
I got a second opinion from another opthomologist who told me to wear an eye patch w/ the ointment 24/7. That seemed to make my good eye ( right) worse from the strain of using one eye and also irritated my left eye cornea from the pressure of the gauze.

My left eye is starting to droop from the chemosis and I'm noticing that my cheek, which was stitched underneath to get rid of my bags, seems to be pulling away from the skin under my lower lid giving my lower lid a bit of a hollow look. The DR who gave me a second opinion told me to massage it upwards which I'm doing and I also on my own decided to use the bandaid portion of an eye patch to pull my cheek upwards which makes my lower lid cover more of my eye. That seems to help but when I go to work for the day and take it off, it sags again. She said the muscle will either come back or I may need to have my lower lid tightened.

I'm getting 2 different opinions from 2 reputable doctors. In 3 weeks I am running a conference that is being video taped for thousands of people so this is really upsetting to me. Any advice? And do you have a recommendation for a great opthomologist in Northern NJ? I've been driving 2 hours to the surgeon who did my surgery and it becomes a whole day event. I just can't keep taking this time away from work. Thanks for your help!
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Re: chemosis worsening after upper and lower blepharoplasty

Postby valleyofthesun » Wed Nov 16, 2011 11:12 pm

I had chemosis for 3 months and the swelling in eye does push the lower lids down. Keep up massage and taping, and steroid drops. You'll probably wake up one day and it'll be gone. In the interim I told people I had allergies and wore glasses to make it less obvious. It is one of those things that you just have to give more time before getting too upset. Early days after surgery are very stressful because surgeons give us unrealistic expectations about recovery time. All the best.
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Re: chemosis worsening after upper and lower blepharoplasty

Postby chemosis » Wed Nov 16, 2011 11:29 pm

Valley of the sun, Thanks for your response. When you say taping, what do you mean? My doc didn't mention taping, but I took it upon myself to tape the upper cheek below my lower lid so that it pushes my lower lid up. Is that what you did?
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Re: chemosis worsening after upper and lower blepharoplasty

Postby valleyofthesun » Thu Nov 17, 2011 7:13 pm

On my doctor's advice, I used steri strips about 1/4 inch wide and two inches long to hold up lower lid at night for a couple months, and during day if I was at home. I placed it right under center of lower lid, pulled it up diagonally and stuck it down near outside edge of eyebrow. also keep eyes lubricated with drops/gel and massage.
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