Late Postoperative Persistent Hemorrhage Following Müller’s Muscle-Conjunctival Resection: Management With Tranexamic Acid

A 38-year-old male patient presented to our clinic with a complaint of drooping of the left upper eyelid. Following a positive result from the phenylephrine test, a Muller muscle-conjunctival resection was planned. On the first postoperative day, the patient's eyelid movements and position were evaluated as normal. However, the patient presented on the evening of the fourth postoperative day with a sudden bleeding complaint. The bleeding, which lasted about ten minutes, recurred on the fifth and sixth days. The patient had no history of chronic illnesses and was on no medication other than nutritional supplements. Following hematology consultation, it was decided to intervene with oral tranexamic acid for management. Although rare, bleeding can occur following Muller muscle-conjunctival resection. The authors discuss the role of supplements on the occurrence of hemorrhage and offer a noninvasive medication for its management with tranexamic acid.