由于在化品肉毒素注射后侧直肠损伤造成的双重视觉
Samavia Khan1, Gaurav Pathak1, David Milgraum1,2
1Department of Dermatology, Robert Wood Johnson School of Medicine, Somerset, New Jersey, USA.
The Australasian journal of dermatology
|June 30, 2023
概括
出于化品的原因,注射肉毒素 (BoNT) 很少会导致眼睛并发症. 这一案例突出了由于注射技术不当而导致的双重视觉 (双眼) 的延迟发病,强调了需要精确的必要性.
科学领域:
- 皮肤病学 皮肤病学
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 毒素 (BoNT) 注射是一种普遍的化品皮肤治疗程序.
- 不当的施用技术可能会导致严重的不良事件,包括眼部并发症,如白色眼和双眼视.
- 周周血液瘤是与BoNT注射相关的另一个潜在的不良反应.
研究的目的:
- 报告一种罕见的晚发性双眼视的病例,该病例是在化品中注射了毒素 (BoNT) 后出现的.
- 调查双眼视的可能原因是BoNT无意中扩散到侧直肠肌肉中.
- 强调正确的注射技术在周围轨道区域的重要性,以防止眼部并发症.
主要方法:
- 病例报告详细介绍了一名患者在接受BoNT注射"乌脚"五周后出现双眼视.
- 临床评估和分析BoNT给药与眼科症状出现之间的时间关系.
- 审视化品面部注射后延迟眼部不良事件的潜在机制.
主要成果:
- 患者在注射后五周经历了无痛的双眼视.
- 这种双眼视被归因于可能是毒素 (BoNT) 无意扩散到侧直肠肌肉.
- 这导致受影响肌肉的暂时,导致双重视觉.
结论:
- 化品肉毒素 (BoNT) 注射虽然很常见,但会带来眼科不良事件的风险,即使发病时间延迟.
- 毒素无意中传播到眼外肌肉,可能会导致暂时性和视力障碍,如双眼视.
- 严格遵守精确的注射技术在周围轨道区域至关重要,以尽量减少这种并发症的风险.
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