How Hematoma After Eyelid Surgery Occurs & How To Treat It Well

Hematoma After Eyelid Surgery

Eyelid surgery is generally done to lift eyelids and to fix other issues like droopy eyelids, remove excess fat from eyelids, etc. But have you ever wondered that eyelid surgery can cause other issues related to your eye health? Well, if you have not ever wondered then let me make it clear that IT IS POSSIBLE.

Yes, believe it or not, not doubt eyelid surgery can improve your eye appearance but sometimes it can harm your eyelids in different ways. Sometimes it can cause delayed retrobulbar hematoma after eyelid surgery.

Hematoma is a collection of blood outside of blood vessels. Generally, a hematoma is caused due to injury to the wall of the blood vessel which promotes the blood to seep out of the blood vessel into the eyelid’s surrounding tissues.

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A hematoma can cause from any injury that affects the blood vessel of the eyelids. It generally describes bleeding which has less or more clotted whereas a hemorrhage signifies ongoing on active bleeding. It is a very common issue that is encountered by several people after they got eyelid surgery treatment.

Hematoma after eyelid surgery can be seen under the eyelid skin as purplish bruises in different sizes. Skin bruises after eyelid surgery are also called contusions. This issue can also take place deep inside the body where they may not be visible.

Common Signs & Symptoms Of A Hematoma

Some common symptoms and signs of hematoma depend on the location and size of the hematoma. Disfiguring bruise, swelling, pain and redness are the most common symptoms of hematoma. Some other symptoms specific to the location of the hematoma’s location are as follows:

  • Epidural Hematoma Symptoms: weakness, back pain, loss of bladder control or bowel
  • Subdural Hematoma Symptoms: neurologic problems, seizures, headache, confusion
  • Splenic, Peritoneal or Hepatic Hematoma Symptoms: flank pain and abdominal pain

Possible Causes Of Hematoma

Well, eyelid surgery and trauma are the most common cause of hematoma. However, when it comes to the trauma, people generally think of falls, card accidents, broken bones, injuries but no one ever wondered that trauma can also cause due to eyelid surgery. While performing the blepharoplasty procedure, even a mistake can cause trauma to the eyelids and due to which hematoma takes place after eyelid surgery.

Trauma to the tissues inside the eyelid’s blood vessel may cause an aggressive sneeze or an unexpected twist of an eyelid. After a blood vessel is damaged, the blood leaks into the surrounding tissue and this blood tends to clot or coagulate. Remember that greater the amount of bleeding occurs, larger the amount of hematoma forms.

How Does Hematoma Occurs After Eyelid Surgery?

Well, this is a very common question asked by people who have undergone blepharoplasty eyelid surgery. So, let’s check out below what make it possible to cause delayed retrobulbar hematoma after blepharoplasty.

As it has been a very common practice by the doctors to use sharp needles so that they can administer local anesthesia for upper and lower blepharoplasty.

Now, you must be willing to know what is the major objective to administer local anesthesia to the patients. Well, in that case, all I can say is – this is done for evaluating if there is any benefit of using blunt-needle injection for local anesthesia while performing upper eyelid surgery so that it can reduce the postoperative bruise and pain.

When Is It Important To Seek Medical Care For Hematoma?

There may be a great need to seek medical care for a hematoma after eyelid surgery if the symptoms are severe or its size continues to expand due to any reason.

As for example, hematoma or generally need prompt surgical and medical attention, most probably if they are associated with the neurological issues.

Those doctors who actually care for patients with hematoma are emergency room physicians, surgeons, urgent care physicians and internet medicine doctors.

How To Diagnose Hematoma After Eyelid Surgery?

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The examination of the hematoma includes some physical inspection along with a comprehensive medical history. Generally, there are no special blood tests taken for the evaluation of the hematoma.

But, most possibly depending on the situation; coagulation panel, liver tests, complete blood count (CBC), metabolic and chemical panel tests may be useful to evaluate a person with a hematoma and to notice nay underlying conditions and evaluate whether those conditions are responsible to form hematoma or not. Sometimes, imaging studies are generally needed to diagnose the hematoma after eyelid surgery.

Question Asked By A Patient With Hematoma

Q: Hello I had just got an cornea abrasion and hematoma on my eyelid and my eyelid seems rather droopy, I can see just fine out of my injured eye and the abrasions seems to be healing but my question is Will my eyelid be able to open back up normally in due time?

Ans: Droopiness is because of weight of the fluid accumulated in the eye lid. It is usually purely mechanical and recovers completely. A direct injury to muscle elevating the lid is highly unlikely. The lid may turn blue-black as the blood disintegrates and the collection may travel downwards due to gravity. If the collection is large it can move to the other side as well across the forehead if you lie down with face on the other side! Try sleeping with the face to the same side. Wishing you a quick recovery.


How To Treat Delayed Retrobulbar Hematoma After Blepharoplasty?

There are some things that you can do to treat hematoma after eyelid surgery. So, if you are suffering from this issue and looking for the possible treatments then you can try the below-mentioned ways with the help of which you will be able to get rid of hematoma issue with ease:

  • After 48 hours of eyelid surgery, you may use heated compresses for about 2 to 3 times a day so that it can help you to reabsorb the blood and prevent hematoma to occur.
  • If you develop a bruising after eyelid surgery, then you should apply ice to the eyelid area for not more than 30 minutes. Doing so will help to shrink or constrict the blood vessels that may actually damage and cause bleeding after eyelid surgery.
  • If you notice that you are bleeding or bruising then make sure that you notify the health care provider of the possible bleeding issues.
  • When you have pain in the eyelid then you may take Acetaminophen (Tylenol®) up to 4000 mg per day. Or, if you have a bleeding disorder then you should definitely void non-steroid anti-inflammatory drugs which are very effective at this time. These drugs will interfere with the blood platelets or to prolong your bleeding.
  • Do not forget to mention to your health care provider or doctor if you have a history of kidney, diabetes, heart or liver disease.
  • Also, make sure that you tell your doctor or health care provider regarding any other medications you are taking. It is highly suggested to not take aspirin or products that contain aspirin unless the health care provider allows.

These are some of the effective and vital treatments for hematoma after eyelid surgery. You can try all these once you find that you have hematoma issue after you get treated with eyelid surgery.

Final Verdict

As it is clear that eyelid surgery is generally done for eyelids lift but sometimes hematoma issue takes place after eyelid surgery is done due to several reasons. After going through the above sections of this blog, you might have noticed how hematoma can occur after eyelid surgery how it can be diagnosed and treated.

So, do not wait for anything, if you have this eyelid problem after you undergone eyelid surgery then try the treatments mentioned above or visit your doctor or take a further recommendation to cure this eyelid issue as this can be very dangerous if you left it untreated.