Advantages of Sequential Versus Simultaneous Bilateral Levator Advancement Surgery
1. Surgical catastrophes. Blindness after eyelid surgery is very rare, but it does happen. Bilateral blindness is exponentially worse than unilateral blindness. Despite rigorous preoperative screening, patients can occasionally sneak into your operating room with previously undiagnosed bleeding diatheses or undisclosed use of aspirin, nonsteroidals, or alternative medicines such as ginkgo biloba. Bilateral severe bleeding is exponentially worse than unilateral severe bleeding.