工业硅胶栓塞引起的类普尔彻样视网膜病变和黄斑中心凹旁急性黄斑病变

PURTSCHER-LIKE RETINOPATHY AND PARACENTRAL ACUTE MIDDLE MACULOPATHY CAUSED BY INDUSTRIAL SILICONE EMBOLISM.

作者信息

de Oliveira Bruno Mauricio Rodrigues, Moraes de Souza Leonardo, Andrade Gabriel Costa, Lobos Claudio Zett, Cunha de Souza Eduardo, Bueno de Moraes Nilva Simeren

机构信息

Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil ; and.

Department of Medical Technology in Ophthalmology, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile.

出版信息

Retin Cases Brief Rep. 2022 May 1;16(3):372-374. doi: 10.1097/ICB.0000000000000986. Epub 2020 Feb 19.

DOI:10.1097/ICB.0000000000000986

PMID:32079895

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9022685/

Abstract

PURPOSE

This article describes a rare occurrence of acute vision loss in a healthy young patient after a cosmetic procedure.

METHODS

Findings on clinical examination, color fundus photography, and swept-source optical coherence tomography angiography.

RESULTS

A previously healthy 26-year-old male-to-female transsexual presented with dyspnea, fever, and hypoxemia 1 day after cosmetic injection of industrial silicone for buttock augmentation. The patient reported decreased vision on the right eye 4 days later and decreased vision on the left eye 5 days later. Fundus examination revealed bilateral retinal precapillary occlusion, demonstrating intraretinal hemorrhages, cotton wool spots, and Purtscher flecks within the posterior pole of both eyes. Optical coherence tomography angiography revealed capillary ischemia and an enlarged foveal avascular zone.

CONCLUSION

Swept-source optical coherence tomography is a valuable tool for evaluation of Purtscher-like retinopathy and paracentral acute middle maculopathy.

摘要

目的

本文描述了一名健康年轻患者在进行美容手术后罕见的急性视力丧失情况。

方法

临床检查、彩色眼底照相及扫频光学相干断层扫描血管造影的检查结果。

结果

一名此前健康的26岁男性变女性的变性者，在臀部注射工业硅胶进行美容隆臀术后1天出现呼吸困难、发热和低氧血症。患者在4天后右眼视力下降，5天后左眼视力下降。眼底检查显示双眼视网膜毛细血管前阻塞，双眼后极部可见视网膜内出血、棉絮斑和普尔夏斑。光学相干断层扫描血管造影显示毛细血管缺血和黄斑中心凹无血管区扩大。