Roshandel Danial, Soheilian Masoud, Pakravan Mohammad, Aghayan Sara, Peyman Gholam A
Ophthalmic Surg Lasers Imaging Retina. 2015 May;46(5):593-6. doi: 10.3928/23258160-20150521-15.
A 65-year-old woman with left hemiparesis and sudden loss of visual acuity in her right eye presented a few hours after cosmetic injection of autologous fat to her forehead. Right eye visual acuity was no light perception. Funduscopy revealed widespread retinal whitening and multibranch retinal vessel occlusion. Fluorescein angiography showed markedly delayed choroidal and retinal filling together with occlusion of multiple branches of retinal arteries and veins. On magnetic resonance imaging of the brain, multiple lesions compatible with recent infarction were detected. The authors diagnosed multibranch retinal artery and vein occlusion in the right ophthalmic and middle cerebral arteries due to fat emboli. This case emphasizes the need to reevaluate the safety of such aesthetic procedures, particularly in the facial zone to prevent devastating complications.
一名65岁女性，有左侧偏瘫且右眼突然视力丧失，在对前额进行自体脂肪美容注射数小时后就诊。右眼视力无光感。眼底检查发现视网膜广泛变白和多分支视网膜血管闭塞。荧光素血管造影显示脉络膜和视网膜充盈明显延迟，同时视网膜动脉和静脉的多个分支闭塞。脑部磁共振成像检测到多个与近期梗死相符的病变。作者诊断为右眼眼动脉和大脑中动脉多分支视网膜动静脉闭塞是由脂肪栓塞所致。该病例强调需要重新评估此类美容手术的安全性，尤其是在面部区域，以预防严重并发症。
