Why Is Blood Pressure Management Important Before and After Eye Surgery?

Eye Surgery and Blood Pressure Management: Why Is It Important?

Among those preparing for eye plastic surgery,

we often hear the question, “My blood pressure is a little high. Is surgery still possible?”

To begin with, in most cases, eye surgery is possible even if you have high blood pressure.

However, for the safety of the surgery and the quality of the results, blood pressure management before and after surgery is very important.

Why Blood Pressure Management Matters in Eye Surgery

The area around the eyes has thin skin and tissue, along with a very rich network of tiny blood vessels.

Because of this, when blood pressure is high or unstable, bleeding can easily occur even with minor stimulation.

If blood pressure is not sufficiently controlled:

• bleeding during surgery may increase, making it harder to maintain a clear surgical field

• bruising and swelling may become more severe

• the recovery period may also become longer

In particular, blood pressure management becomes even more important in surgeries that involve incisions and precise handling of tissue, such as lower blepharoplasty, ptosis correction, and revision eye surgery.

Blood Pressure Also Affects Surgical Results

When blood pressure is high, more bleeding can occur during surgery, and tissue can swell more easily.

This can make it difficult to secure a clear view during surgery and may make it harder to judge the exact amount of correction needed.

As a result, the left and right sides may become less balanced, or the surgical outcome may feel less satisfying than expected.

In other words, even if there are no technical issues, differences in results can occur depending on the overall physical condition, especially blood pressure.

Blood Pressure Management Is Still Necessary After Surgery

Blood pressure management does not end when the surgery is over.

If blood pressure rises sharply after surgery, bleeding or hematoma formation (a collection of blood) may occur, bruising and swelling may worsen, and tightness or discomfort may increase.

Therefore, during the recovery period as well, rest, medication use, and lifestyle management are very important.

Can You Have Eye Surgery If You Have High Blood Pressure?

The important question is not whether you have high blood pressure, but whether your blood pressure is currently being stably controlled.

If you usually take blood pressure medication regularly and your blood pressure readings are stable, surgery may be possible after sufficient consultation with the medical team.

You should never stop blood pressure medication on your own, as doing so can be dangerous.

Important Points for Blood Pressure Management Before and After Surgery

Before surgery

Take blood pressure medication as usual. It is best to avoid heavy drinking, caffeine, and salty foods the day before surgery.

Get enough sleep, and if your blood pressure tends to rise due to nervousness, let the medical team know in advance.

On the day of surgery

After measuring blood pressure, confirm whether surgery is possible. If blood pressure is unstable, surgery should be performed only after sufficient rest if needed.

After surgery

It is best to avoid sudden movements, strenuous activity, and positions that may increase intraocular pressure.

Pain and anxiety can raise blood pressure, so active management is needed.

Take prescribed medication according to instructions.

Extra Caution Is Needed in These Cases

• If you are planning revision eye surgery

• If you have experienced bleeding or hematoma after a previous surgery

• If your blood pressure tends to fluctuate significantly

• If you are taking anticoagulants or aspirin-based medications

In these cases, the surgical plan itself should be made more carefully while considering blood pressure status.

The Relationship Between Blood Pressure and Bleeding

Blood pressure is an important factor that directly affects bleeding during and after surgery.

When blood pressure rises, pressure inside the blood vessels increases, and bleeding can occur easily even from small blood vessels.

When tissue is stimulated by surgery, bleeding may increase or hemostasis may not be achieved well, making it difficult to maintain a clear surgical field and potentially lengthening the surgery time.

Even after surgery, if blood pressure is not stable, rebleeding may occur in areas that have already been controlled, and the risk of excessive bruising, swelling, and hematoma also increases.

In particular, temporary blood pressure increases caused by tension, anxiety, or pain can also raise the risk of bleeding, so overall blood pressure stability before and after surgery is very important.

When the anesthetic needed for surgery is administered, blood pressure may rise by 10 to 20 above the current level due to pain and tension. Therefore, the blood pressure level that allows surgery should be kept in the 140s.

Eye surgery is not simply a procedure that looks only at the eyes.

For safe and stable results, the overall physical condition, including blood pressure, must also be considered.

Especially in revision surgery, it is just as important as surgical technique to accurately determine whether surgery is possible in the current condition.

Please remember that blood pressure management is an essential process for reducing bleeding, supporting recovery, and achieving a more satisfying outcome.

An Sung Min Plastic Surgery

An Sung Min Plastic Surgery is a hospital specializing in revision eye surgery.

Based on Director Ahn Sung Min’s expertise and extensive revision surgery experience,

the clinic performs customized surgeries aimed at achieving stable, natural, and long-lasting results even in the most complex revision cases.

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