透明质酸美学介入性致盲（AIIVL）的治疗：实用指南共识。
The treatment of hyaluronic acid aesthetic interventional induced visual loss (AIIVL): A consensus on practical guidance.
机构信息
Ramsay West Midlands Hospital, Halesowen, UK.
Manchester Royal Eye Hospital, Manchester, UK.
出版信息
J Cosmet Dermatol. 2019 Feb;18(1):71-76. doi: 10.1111/jocd.12672. Epub 2018 Jun 8.
BACKGROUND
Visual loss (blindness) caused by injection of soft tissue fillers is a rare but devastating issue to both patient and practitioner. There is a lack of any structured protocol in the management of this problem AIMS: To produce a pathway for the management of hyaluronic acid aesthetic interventional induced visual loss that was based on the current available literature and guidelines. evidence proposed guidance for the practical management of this problem. was evaluated and a pathway has been developed for patient management and specialist advice METHOD: A consensus group experts involved in aesthetic intervention, visual loss research and with experience in dealing with visual loss assessed the current literature and proposed guidelines available. Using the protocols available a pathway for the treatment of aesthetic interventional induced visual loss was proposed.
RESULTS
The group produce a set of guidelines for the practitioner to use as an emergency situation and for use in a delayed presentation. The group also produced guidelines for specialists to use in a secondary care setting.
CONCLUSIONS
These recommendations are based on current publications and or consensus view as there is still a lack of robust Level I data to support any particular intervention therapy.
背景
软组织填充物注射导致的视力丧失（失明）对患者和医生来说都是一种罕见但极具破坏性的问题。目前缺乏针对该问题的任何结构化治疗方案。
目的
根据现有文献和指南，为透明质酸美容介入性视力丧失的管理制定一个路径。评估证据并提出了用于处理该问题的实用管理路径。
方法
涉及美容介入、视力丧失研究并有处理视力丧失经验的共识专家组评估了现有文献和现有的可用指南。使用现有的方案，提出了一种治疗美容介入性视力丧失的方案。
结果
该小组为医生制定了一套紧急情况下使用的指南，也为延迟就诊时使用制定了指南。该小组还为二级保健机构的专家制定了指南。
结论
这些建议是基于目前的出版物和/或共识观点，因为仍然缺乏强有力的一级数据来支持任何特定的干预治疗。
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