Vision recovery after ocular massage for cosmetic filler-induced ophthalmic artery occlusion.

Q3 Medicine
American Journal of Ophthalmology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI:10.1016/j.ajoc.2024.102229
Alexander A Svoronos, Nathan L Scott
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引用次数: 0

Abstract

Purpose: To report a case of vision recovery after ocular massage for cosmetic filler-induced ophthalmic artery occlusion.

Observations: A 58-year-old female experienced acute loss of vision of the left eye, left ptosis, and left glabellar skin discoloration immediately after cosmetic filler injection, suggestive of occlusion of the branches of the ophthalmic artery. Highly aggressive, prolonged ocular massage was initiated soon after and followed by a substantial recovery of vision. In the following days, signs of anterior segment ischemia and choroidal infarcts developed. Additionally, extramacular preretinal hemorrhages emerged, presumably from shearing of retinal capillaries during the ocular massage. These findings resolved without significant permanent visual deficits.

Conclusions and importance: We report a unique case of vision recovery after ocular massage in the setting of arterial occlusion due to cosmetic filler injection. It is also a rare case of preretinal hemorrhages associated with ocular massage. The case suggests that ocular massage might, at least in rare circumstances, be effective for treating cosmetic filler-induced retinal artery occlusion.

眼部按摩治疗美容填充物致眼动脉闭塞术后视力恢复。
目的:报告一例美容填充物致眼动脉闭塞术后眼部按摩后视力恢复的病例。观察:一名58岁女性,在注射美容填充物后立即出现左眼急性视力丧失,左上睑下垂,左眉间皮肤变色,提示眼动脉分支闭塞。高度积极的,长时间的眼部按摩开始后不久,随后的视力大幅恢复。在接下来的几天里,出现了前段缺血和脉络膜梗死的迹象。此外,黄斑前出血出现,可能是由于眼部按摩时视网膜毛细血管的剪切。这些结果没有造成明显的永久性视力缺陷。结论和重要性:我们报告一个独特的病例,眼部按摩后视力恢复设置动脉闭塞,由于美容填充物注射。这也是一个罕见的情况下,视网膜前出血与眼部按摩。该病例表明,眼部按摩可能,至少在极少数情况下,是有效的治疗美容填充物引起的视网膜动脉闭塞。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
513
审稿时长
16 weeks
期刊介绍: The American Journal of Ophthalmology Case Reports is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished case report manuscripts directed to ophthalmologists and visual science specialists. The cases shall be challenging and stimulating but shall also be presented in an educational format to engage the readers as if they are working alongside with the caring clinician scientists to manage the patients. Submissions shall be clear, concise, and well-documented reports. Brief reports and case series submissions on specific themes are also very welcome.
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