Khatibi Azadeh
Department of Ophthalmology, Southern California Permanente Medical Group, California.
Retin Cases Brief Rep. 2018;12(1):17-20. doi: 10.1097/ICB.0000000000000380.
To report a case of Purtscher-like retinopathy with paracentral acute middle maculopathy preceded by febrile illness after filler injection into the buttock muscles bilaterally for cosmesis to achieve a "Brazilian booty."
Retrospective case report.
A 35-year-old female presented with febrile illness and then decreased vision after repeat polymethyl methacrylate injections into her buttock muscles in Mexico. Examination was significant for retinal whitening, especially in the perifoveal areas, and intraretinal hemorrhages. Optical coherence tomography and fluorescein angiography imaging were consistent with small-vessel ischemic disease in the retina and choroid. Once systemic infection was ruled out, patient was treated with high-dose intravenous and then oral steroids. Vision recovery was good, with retinal atrophy on optical coherence tomography in the previous areas of retinal whitening.
A Purtscher-like retinopathy with paracentral acute middle maculopathy and loss of vision may occur after filler injection below the neck, not just the face. This is the first report of vision loss caused by filler injected outside the face.
报告一例类似Purtscher样视网膜病变合并中心旁急性黄斑病变的病例，该病例在双侧臀部肌肉注射填充剂以达到“巴西翘臀”美容效果后，先出现发热性疾病。
回顾性病例报告。
一名35岁女性在墨西哥双侧臀部肌肉重复注射聚甲基丙烯酸甲酯后出现发热性疾病，随后视力下降。检查发现视网膜变白，尤其是在黄斑周围区域，以及视网膜内出血，这一点很明显。光学相干断层扫描和荧光素血管造影成像与视网膜和脉络膜的小血管缺血性疾病一致。一旦排除全身感染，患者接受了大剂量静脉注射，然后口服类固醇治疗。视力恢复良好，光学相干断层扫描显示先前视网膜变白区域出现视网膜萎缩。
颈部以下（不仅仅是面部）注射填充剂后可能会发生类似Purtscher样视网膜病变合并中心旁急性黄斑病变及视力丧失。这是面部以外部位注射填充剂导致视力丧失的首例报告。
