管理血管封闭的指南由于充填剂与扩展的神经眼科参与:诊断,分类和治疗的审查
Javier Madero-Pérez1,2, Marta Gil-Martinez3, Lorena Arrien4
1Department of Medicine, Universitat Jaume I, Castellón, Spain.
Aesthetic plastic surgery
|March 17, 2026
概括
填充剂诱导的眼科血管封闭 (FIVO) 是一种罕见的紧急情况. 及时的氨酸酶 (HYAL) 治疗和支持性护理对于管理视力丧失和预防中风至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 皮肤病学 皮肤病学
背景情况:
- 填充剂诱导的眼血管封闭 (FIVO) 是一种罕见但严重的美容手术并发症.
- 氨酸 (HA) 填充剂经常受到影响,导致失明,较少发生中风.
- 快速识别和立即干预对于管理FIVO至关重要.
研究的目的:
- 系统地审查FIVO的病因学,分类和管理.
- 综合当前关于皮肤填充剂引起的神经眼科血管事件的技术和药理治疗的证据.
- 强调及时干预和标准化指导方针的重要性.
主要方法:
- 在PubMed,Web of Science和Cochrane图书馆进行系统的文献搜索,截至2025年8月.
- 包括35篇符合标准的文章,以及专家共识声明和国际小组建议.
- 在研究选择和数据提取方面遵循PRISMA 2020指南.
主要成果:
- FIVO病原包括即时或延迟的栓塞事件,具有不同的表现和预后.
- 眼科症状包括视力丧失,亡和眼;神经并发症如中风发生在高达24%的病例中.
- 氨酶 (HYAL) 是主要的干预措施;讨论了其最佳的输送和辅助疗法 (例如,眼内压力降低,抗血小板疗法).
结论:
- FIVO是一种时间关键的紧急情况,需要立即给予氨酸酶 (HYAL) 和支持性护理.
- 迅速转诊专业眼科和神经学评估至关重要.
- 需要标准化的指导方针来改善患者的治疗结果,并协调临床实践.
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