Esmaili Daniel D
Retina Vitreous Associates Medical Group, Los Angeles, California.
Retin Cases Brief Rep. 2017;11 Suppl 1:S28-S30. doi: 10.1097/ICB.0000000000000393.
To describe a patient with ophthalmic artery occlusion after sodium tetradecyl sulfate foam injection in the forehead.
In this case report, a description of the clinical examination and imaging findings, including fundus photography, spectral-domain optical coherence tomography, and fluorescein angiography are reported.
A 33-year-old white woman presented with severe painless vision loss in the left eye after cosmetic treatment of a forehead vein with sodium tetradecyl sulfate foam. Her visual acuity in the left eye was hand motions, and her fundus revealed diffuse retinal whitening in the macula with the absence of a cherry red spot and disruption of the arteriolar blood supply. Spectral-domain optical coherence tomography revealed intense hyperreflectivity of the inner and outer retina with loss of the foveal contour, and fluorescein angiography revealed delayed filling of the choroidal vasculature and cilioretinal artery with incomplete filling of the retinal arterioles in the late frames consistent with ophthalmic artery occlusion.
This case represents a devastating ocular complication after the inadvertent injection of sodium tetradecyl sulfate into a forehead artery, resulting in occlusion of the ophthalmic artery and severe vision loss.
描述1例在前额注射十四烷基硫酸钠泡沫后发生眼动脉阻塞的患者。
在本病例报告中，报告了临床检查和影像学检查结果的描述，包括眼底照相、频域光学相干断层扫描和荧光素血管造影。
一名33岁白人女性在前额静脉用十四烷基硫酸钠泡沫进行美容治疗后，出现左眼严重无痛性视力丧失。她左眼的视力为手动，眼底显示黄斑区视网膜弥漫性变白，无樱桃红斑，小动脉血供中断。频域光学相干断层扫描显示视网膜内、外层强烈高反射，黄斑轮廓消失，荧光素血管造影显示脉络膜血管和睫状视网膜动脉充盈延迟，晚期视网膜小动脉充盈不完全，符合眼动脉阻塞。
本病例代表了无意中将十四烷基硫酸钠注入前额动脉后发生的一种毁灭性眼部并发症，导致眼动脉阻塞和严重视力丧失。
