Orbital Infarction Syndrome Following Hyaluronic Acid Lip Filler Injection.

IF 1.3 4区 医学 Q3 OPHTHALMOLOGY
Fitz Gerald I Diala, Brian S Biesman, Jonathan M Pargament, Louise A Mawn
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引用次数: 0

Abstract

A 31-year-old female presented with an acute onset of vision loss in the OS. On arrival to the hospital, OS ocular vitals were notable for no light perception vision, relative afferent pupillary defect, elevated intraocular pressure, ophthalmoplegia, and ptosis. Interval history was notable for lip filler injection. Emergent neuroimaging did not demonstrate large vessel occlusion. Ophthalmic artery occlusion resulting in orbital infarction syndrome was suspected. Patient received intravenous solumedrol, verapamil, aspirin, and lateral canthotomy/cantholysis, topical and intravenous antibiotics, and periorbital and orbital injections of hyaluronidase. With improvement in ptosis and extraocular motility, but vision remaining no light perception, the patient was discharged 5 days after presentation. However, a month later, the patient was enucleated due to intractable pain. This is the foremost report of orbital ischemic syndrome in the setting of ophthalmic artery occlusion secondary to hyaluronic acid filler injection to the lip.

透明质酸唇部填充物注射后的眼眶梗死综合征。
一名31岁女性在手术中表现为急性视力丧失。到达医院时,OS眼部生命体征明显为无光感视力、相对传入瞳孔缺损、眼压升高、眼麻痹和上睑下垂。唇部填充物注射间隔史显著。急诊神经影像学未见大血管闭塞。怀疑眼动脉闭塞导致眶梗死综合征。患者静脉注射舒美德罗、维拉帕米、阿司匹林、侧眦切开术/眦松解术、局部和静脉注射抗生素、眶周和眶周注射透明质酸酶。随着上睑下垂和眼外运动的改善,但视力仍然没有光感,患者在就诊后5天出院。然而,一个月后,由于顽固性疼痛,患者被摘除了核。这是在眼动脉阻塞继发于透明质酸填充剂注入唇的眼眶缺血综合征的设置的第一个报告。
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
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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