Eye injuries caused by high intensity macro and micro focused ultrasound treatment: a case report.

IF 1.7 4区医学 Q3 OPHTHALMOLOGY

BMC Ophthalmology Pub Date : 2024-09-03 DOI:10.1186/s12886-024-03645-w

Guobei Xiao, Catherine Jan, Ling Hong, Jinglei Ye, Ning Li, Yuxuan Li, Na Zhong, Yingjie Li

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Abstract

Background: High Intensity Macro and Micro Focused Ultrasound ( HIFU) is a safe and effective method for the treatment of skin laxity. However, the application of high-intensity focused ultrasound energy on eyelids has been associated with potential ocular complications including traumatic cataract, iridocyclitis, and conjunctival hemorrhage, among others.

Case presentation: A 40-year-old female developed blurred vision in her left eye after receiving HIFU treatment on binocular eyelids, and her left far vision was 20/66. The examination revealed left eye iris depigmentation and conjunctival hemorrhage. Both eyes exhibited multiple white streaking or tadpole-shaped opacities in the lenses.

Conclusion: Excessive ultrasonic energy generated by HIFU can cause protein denaturation, leading to conditions such as traumatic cataract, visual impairment, injuries to the iris and conjunctiva when applied to the eyes. We recommend that individuals undergoing cosmetic treatment in the periorbital region should be highly aware of the possible ocular side effects.

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高强度宏观和微观聚焦超声治疗造成的眼部损伤：病例报告。

背景：高强度宏观和微观聚焦超声（HIFU）是治疗皮肤松弛的一种安全有效的方法。然而，在眼睑上应用高强度聚焦超声波能量与潜在的眼部并发症有关，包括外伤性白内障、虹膜睫状体炎和结膜出血等：一名 40 岁女性在接受双眼皮 HIFU 治疗后出现左眼视力模糊，左眼远视力为 20/66。检查发现左眼虹膜色素沉着，结膜出血。双眼晶状体均出现多处白色条纹状或蝌蚪状混浊：结论：HIFU 产生的过高超声波能量会导致蛋白质变性，从而引发外伤性白内障、视力损伤、虹膜和结膜损伤等病症。我们建议，接受眶周美容治疗的人应高度警惕可能对眼睛造成的副作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Ophthalmology OPHTHALMOLOGY-

CiteScore

3.40

自引率

5.00%

发文量

441

审稿时长

6-12 weeks

期刊介绍： BMC Ophthalmology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of eye disorders, as well as related molecular genetics, pathophysiology, and epidemiology.