可注射面部填充剂的眼科并发症
Prateek Nishant1, Arvind Kumar Morya2, Sony Sinha3
1Department of Ophthalmology, ESIC Medical College, Patna 801103, Bihar, India.
World journal of clinical cases
|December 9, 2024
概括
面部填充剂可以通过阻塞眼动脉引起视力损失,特别是在鼻腔或白眼治疗期间. 由于这种严重并发症的康复率较低,预防和及时识别至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 眼科医生 眼科 眼科
- 皮肤病学 皮肤病学
背景情况:
- 面部美容手术通常使用脂肪移植和皮肤填充剂.
- 皮肤填充剂带有风险,包括血管损伤和轨道传播,导致视力受损.
- 急性视力丧失是充填剂注射的罕见但毁灭性的并发症.
研究的目的:
- 审查面部填充剂注射后视力损失的风险和管理.
- 为了比较脂肪移植与氨酸填充剂的血管封闭模式.
- 强调预防措施在面部美容手术中的重要性.
主要方法:
- 审查关于面部填充剂和相关并发症的现有文献.
- 对血管封闭机制和解剖学的考虑进行分析.
- 讨论当前的治疗干预措施及其有效性.
主要成果:
- 填充剂注射可能导致眼动脉封闭,导致视力丧失 (0.0008%的病例).
- 鼻腔增大和 glabellar 治疗构成最高的风险.
- 氨酸填充剂往往比自身脂肪更容易引起远端动脉阻塞.
结论:
- 面部填充剂导致的视力丧失是一种严重并发症,预后不佳.
- 预防策略和提高认识对于患者安全至关重要.
- 早期检测和干预至关重要,尽管在恢复视力方面通常是无效的.
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