Ricci Lucas H, Navajas Samia V, Carneiro Paula R, Söderberg Stephanie A, Ferraz Caroline A
School of Medicine, Anhembi Morumbi University, Laureate International Universities, São Paulo, SP, Brazil.
Department Ophthalmology, School of Medicine, Anhembi Morumbi University, Laureate International Universities, São Paulo, SP, Brazil.
J Cosmet Dermatol. 2015 Jun;14(2):145-51. doi: 10.1111/jocd.12141. Epub 2015 Mar 19.
To review indexed literature concerning adverse ocular effects of the most common aesthetic facial procedures (light-emitting therapy, dermal fillers injection, and botulinum toxin). Literature search using three online databases - PubMed, SciELO, and Capes - selecting case reports, series of cases and reviews, with no language restriction, published in a period of the last twenty years (1995-2015). After reviewing 48 case reports and most recent reviews, the authors found the most common ocular adverse effects of dermal fillers were related to vascular occlusion; light-emitting therapy was associated with pigmented tissue damage leading to anterior uveitis and iris atrophy, and ptosis presented the higher relative risk associated with botulinum toxin. Even though ocular adverse effects are not very frequent, some of them can lead to permanent ocular dysfunction and visual impairment. Professionals involved in cosmetic procedures should be aware of the risks.
回顾关于最常见的面部美容手术（发光疗法、注射填充剂和肉毒杆菌毒素）眼部不良反应的索引文献。使用三个在线数据库——PubMed、SciELO和Capes进行文献检索，选择过去二十年（1995 - 2015年）发表的病例报告、系列病例和综述，无语言限制。在查阅了48份病例报告和最新综述后，作者发现填充剂最常见的眼部不良反应与血管阻塞有关；发光疗法与色素组织损伤有关，可导致前葡萄膜炎和虹膜萎缩，而肉毒杆菌毒素导致上睑下垂的相对风险更高。尽管眼部不良反应并不常见，但其中一些可能导致永久性眼功能障碍和视力损害。从事美容手术的专业人员应意识到这些风险。
