Shafir R, Cohen M, Gur E
Department of Plastic and Reconstructive Surgery, Tel-Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Plast Reconstr Surg. 1999 Sep;104(4):1180-2; discussion 1183-4.
Blindness as a result of steroid injection into areas adjacent to the eyes, namely the interior of the nose and eyelids, has been described in the otolaryngologic and ophthalmologic literature but at no time in the plastic surgery literature. We describe a case of permanent visual loss at the time of injection of a long-acting steroid to the dorsum of the nose for postrhinoplasty scarring. We suggest that before steroid injection for elective procedures, the patient be informed of all possible consequences of complications even if their occurrence is very rare.
因在眼睛附近区域(即鼻腔内部和眼睑)注射类固醇而导致失明的情况,在耳鼻喉科和眼科文献中已有记载,但整形外科文献中从未提及。我们描述了一例在为鼻整形术后瘢痕向鼻背部注射长效类固醇时导致永久性视力丧失的病例。我们建议,在为择期手术注射类固醇之前,应告知患者所有可能出现的并发症后果,即便其发生几率极低。