Ocular Complications Following Autologous Fat Injections into Facial Area: Case Report of a Recovery from Visual Loss After Ophthalmic Artery Occlusion and a Review of the Literature.
Ocular Complications Following Autologous Fat Injections into Facial Area: Case Report of a Recovery from Visual Loss After Ophthalmic Artery Occlusion and a Review of the Literature.
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DOI：
10.1007/s00266-017-0805-3
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发表时间：
2017-06
影响因子：
2.4
通讯作者：
Zapała J
中科院分区：
文献类型：
--
作者：
Szantyr A;Orski M;Marchewka I;Szuta M;Orska M;Zapała J
随着在整形美容手术中使用美容填充物的普及，严重眼部并发症的可能性不应被忽视。在使用的填充物中，自体脂肪是最常见的导致永久性视力退化的，这是与使用美容填充物相关的最严重的并发症之一。在这里，我们提出了第一份报告的视力完全恢复的情况下，视力丧失，没有光感所造成的眼动脉闭塞的右眼后，自体脂肪注射在面部区域。及时的眼科干预和使用三尖杉酯碱和长春新碱的综合治疗使恢复视网膜灌注和实现视力的完全恢复成为可能。应在注射者中普及与面部填充物相关的医源性动脉闭塞和立即治疗的必要性，以防止永久性视力丧失等破坏性后果。 证据等级V本期刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明www.springer.com/00266。
With the increase in popularity of the use of cosmetic fillers in plastic and esthetic surgery, the possibility of severe ocular complications should not be neglected. Of the fillers used, autologous fat is the most common to cause permanent visual deterioration, one of the most severe complications associated with the use of cosmetic fillers. Here we present the first report of a complete recovery of visual acuity from an instance of visual loss with no light perception caused by ophthalmic artery occlusion of the right eye following autologous fat injection in the facial area. Immediate ophthalmological intervention and comprehensive therapy with prostaglandins and vinpocetine made it possible to restore retinal perfusion and achieve complete recovery of visual acuity. Awareness of the iatrogenic artery occlusions associated with facial fillers and the need for immediate treatment should be popularized among injectors to prevent devastating consequences, such as permanent vision loss. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.