Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

179 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes blurred vision after blepharoplasty?

Answered by
Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 2787 Questions

Posted on Thu, 28 Sep 2017 in Vision and Eye Disorders
Question: Last Wednesday I had a blepharoplasty, (upper lids only) and was given injections of Lidocaine and epinephrine to numb the area. Since then, my vision has been blurry and I saw an ophthalmologist today who noted a significant change in my vision compared to what my eyeglasses (prescribed only this past February) indicate as my prescription. The ophthalmologist insisted the vision change was likely due to elevated blood sugar. I then had an Accucheck and A1c done at my family doctor, both indicate NO problem with blood sugar and were within normal limits. So I'm assuming either the lidocaine or the epinephrine caused some damage to my eyesight...since it migrated to my cheeks the day of the surgery is there any reason to think that fluid couldn't have migrated to the inside of my eyes?
Answered by Dr. Lekshmi Rita Venugopal 2 hours later
Brief Answer:
Blurred vision following Blepharoplasty

Detailed Answer:
Thank you for trusting HCM

Blurred vision following Blepharoplasty is very common. This is because of dry eyes, mild edema in the cornea and change in corneal curvature. Usually, this will subside in few days. If persistent, you will need a change in prescription glasses to accommodate the change in corneal curvature. Most cases of blurred vision (>94%) will go away in a year.
However, if you are diabetic I recommend getting evaluated by an ophthalmologist to rule out diabetic retinopathy. It is recommended for diabetic patients to undergo evaluation by an ophthalmologist every 5 years.

Hope this answers your questions
Please address further questions here
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Lekshmi Rita Venugopal 2 hours later
I am not, nor have I ever been diabetic. You did not answer my question about the possibility that the lidocaine/epinephrine may have damaged my eye. I have been using drops since the procedure, so IF I had dry eyes, that should have resolved from the frequent use of eye drops. It has now been over a week since I had the procedure and the blurriness has not subsided. If blurriness is from edema to my cornea, how did that happen, given that the procedure was on tissue above my eye, not IN my eye? Why would my cornea be affected if the procedure did not touch my eye? I was awake during the entire procedure and my eye was never touched.
Answered by Dr. Lekshmi Rita Venugopal 12 minutes later
Brief Answer:
Follow up answer

Detailed Answer:
Hello again,

The epinephrine and lidocaine will not cause blurry vision or damage your eye.
Corneal and scleral edema is due to the dry eyes and manipulation of surrounding tissue during surgery.Dry eyes is due to the fact that the process of closing eye lids will be affected during and immediate post operative period.The scleral and corneal edema will distort the curvature of cornea contributing to blurred vision.
Continue using eye drops. It will take few days for eyes to completely recover. The blurred vision will susbside in 1-2 weeks .
Sometimes manipulation of upper lid can cause persistent distortion of corneal curvature.This can lead to persistent blurred vision. If you do not notice any improvement in 1 week, follow up with your ophthalmologist for new prescription glasses.

Above answer was peer-reviewed by : Dr. Kampana

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  
Medical Procedures
Medical Topics

Recent questions on  Corneal edema

doctor1 MD

9 days postop face lift . big mistake, wasn't given any instructions to my husband and I was out of it. but swelling on temporal area and down is jaw is painful, no discoloration. Is it a hematoma and will it go away. I went to a surgy center and...

doctor1 MD

Hello, I previously asked this question but did not receive a follow up adequate answer to my follow up question. I believe x-rays only can tell if infection at root has damaged bone ...I believe the infection is gone now ... but bone damage...

doctor1 MD

hi I had this week two lasik for glaucoma presser, my presser was high! Laser i guess did not help and the doctor took by needle fluid to decreased eye pressure. do you guess what can happen to my eye in future ? i see today by that eye like after fog.

doctor1 MD

i had cataract surgery 2 and a half weeks ago. there were some complications-(my eye was my eyeball was cut and had to have 1 sutured).the pressure on my eye was 54 but is now 45. i am being treated with eyedrops and acetazolamide. i still cant see much and everything has a haze over it. i noticed that when i take ibuprofen(200mg) my vision becomes moch better for a while. this is beginning to frighten me a bit. chris morgan

doctor1 MD

Hi, recently I have discovered that my eyes are red after just several hours of wearing contact lenses, the vision gets a little blurry sometimes when I have them on as well, I have astigmstism and is wearing toric lenses, I have also discovered that my right eyes eyesight may be better than my left, because the left eye is always blurrier with either contact lenses or glasses...

I admit I have worn my contact lenses for 12 hours before, and my eyes get really red and a little painful before for a several times... But each time it seemed to take care of itself and recovered... So I didn't see the doctor, but now I seem to be suffering with blurrier eyesights even with glasses, is there any explanation to this? Thank you!!!

doctor1 MD

Hi my name is Denise, Im a 41 year old female who a week ago found out that I have acute angle closure glaucoma. I had emergency surgery last Thursday and have been on medication for one week. I stopped taking as of yesterday per doctors instructions. For the last couple of days I have been seeing white moon shaped flashes but more today than the last two days, is this normal or should I seek medical attention?