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自体脂肪注射至下眼睑组织后虹膜节段性缺血性梗死：一例报告

Segmental ischaemic infarction of the iris after autologous fat injection into the lower eyelid tissue: a case report.

作者信息

Kim Jaeyoung, Kim Sa Kang, Kim Mee Kum

机构信息

Laboratory of Ocular Regenerative Medicine and Immunology, Biomedical Research Institute, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.

Department of Ophthalmology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.

出版信息

BMC Ophthalmol. 2017 Nov 21;17(1):205. doi: 10.1186/s12886-017-0599-8.

DOI:10.1186/s12886-017-0599-8
PMID:29157214
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5697341/
Abstract

BACKGROUND: Autologous fat injection is getting popular in cosmetic procedures, however, still has a risk of fat embolism. Herein, we report the first case of segmental ischaemic infarction of the iris, which occurred after autologous fat injection into the lower eyelid. CASE PRESENTATION: A 28-year-old Korean woman complained of the discolouration of the iris after the fat injection. Slit-lamp biomicroscopy revealed segmental depigmented atrophic iris with sectoral sphincter palsy. CONCLUSIONS: We found that iris atrophy could be caused by autologous fat transplantation. The plastic surgeons should pay more attention to possibility of fat embolism-induced ocular complications in the procedure of fat injection.

摘要

背景：自体脂肪注射在美容手术中越来越普遍，但仍存在脂肪栓塞的风险。在此，我们报告首例自体脂肪注射下眼睑后发生的虹膜节段性缺血性梗死病例。 病例介绍：一名28岁的韩国女性在脂肪注射后出现虹膜变色。裂隙灯显微镜检查显示虹膜节段性色素脱失萎缩，伴有扇形括约肌麻痹。 结论：我们发现虹膜萎缩可能由自体脂肪移植引起。整形外科医生在脂肪注射过程中应更加关注脂肪栓塞引起眼部并发症的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e8/5697341/fd696a29b944/12886_2017_599_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e8/5697341/fd696a29b944/12886_2017_599_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e8/5697341/fd696a29b944/12886_2017_599_Fig1_HTML.jpg

相似文献

[1]
Segmental ischaemic infarction of the iris after autologous fat injection into the lower eyelid tissue: a case report.

BMC Ophthalmol. 2017-11-21

[2]
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Aesthet Surg J. 2015-8

[3]
Fatal Fat Embolism After Penis Enlargement by Autologous Fat Transfer: A Case Report and Review of the Literature.

J Forensic Sci. 2017-9

[4]
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Aesthetic Plast Surg. 2019-1-30

[5]
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Int J Clin Exp Pathol. 2014-8-15

[6]
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J Craniofac Surg. 2015-1

[7]
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Ann Plast Surg. 2001-6

[8]
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J Plast Reconstr Aesthet Surg. 2015-11

[9]
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Aesthetic Plast Surg. 2016-10

[10]
Effect of autologous fat injection on lower eyelid position.

Ophthalmic Plast Reconstr Surg. 2014

引用本文的文献

[1]
Fat embolism following fat grafting: A systematic review of reported cases.

JPRAS Open. 2024-10-29

[2]
Facial Fat Grafting (FFG): Worth the Risk? A Systematic Review of Complications and Critical Appraisal.

J Clin Med. 2022-8-11

[3]
Case Report and Literature Review: Catastrophic Embolism Following Cosmetic Injection of Autologous Fat in the Face.

Front Med (Lausanne). 2021-12-7

[4]
A Rare Ocular Complication of Autologous Fat Injection: Subconjunctival Fat Infiltration.

J Craniofac Surg. 2021-10-1

[5]
Neurologic Complications of Fat Embolism Syndrome.

Curr Neurol Neurosci Rep. 2019-2-20

本文引用的文献

[1]
Ophthalmic artery obstruction and cerebral infarction following periocular injection of autologous fat.

Korean J Ophthalmol. 2011-10

[2]
A study of the vascular network of the iris using flat preparation.

Korean J Ophthalmol. 2009-12

[3]
Autologous fat injection for soft tissue augmentation in the face: a safe procedure?

Aesthetic Plast Surg. 1998

[4]
Middle cerebral artery embolism and unilateral visual loss after autologous fat injection into the glabellar area.

Stroke. 1993-4

[5]
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Aust N Z J Ophthalmol. 1995-5

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Pseudomelanoma of the iris in herpes simplex keratoiritis.

Ophthalmology. 1986-12

[7]
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