Huang Laura C, Williams Basil K, Ko Audrey C, Yehoshua Zohar, Alabiad Chrisfouad R
Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL, USA.
J Clin Exp Ophthalmol. 2015;6(1). doi: 10.4172/2155-9570.1000402. Epub 2015 Feb 27.
To describe a rare occurrence of acute vision loss and diffuse alveolar hemorrhage following a treatment of injectable gluteal cosmetic filler.
A 20-year-old female underwent a cosmetic injection of unknown components for gluteal augmentation. Within hours she developed progressive shortness of breath secondary to diffuse alveolar hemorrhage. She presented to ophthalmology 6 weeks later with a history of bilateral decreased vision. Clinical examination revealed cotton wool spots and retinal hemorrhages. Fluorescein angiography demonstrated macular vascular pruning and an enlarged foveal avascular zone.
The patient was observed and vision did not improve after 8 months of follow-up.
These findings were attributed to a Purtscher-like retinopathy secondary to systemic inflammation induced by the filler and/or direct microembolization of the injected material or fat. To the best of the authors' knowledge, this is the first documented case of diffuse alveolar hemorrhage and ischemic bilateral vision loss in a patient undergoing gluteal augmentation with dermal filler.
描述注射用臀肌美容填充剂治疗后罕见的急性视力丧失和弥漫性肺泡出血情况。
一名20岁女性接受了成分不明的美容注射以丰臀。数小时内，她因弥漫性肺泡出血出现进行性呼吸急促。6周后她因双侧视力下降史就诊于眼科。临床检查发现棉絮斑和视网膜出血。荧光素血管造影显示黄斑血管变细和中心凹无血管区扩大。
对患者进行观察，随访8个月后视力未改善。
这些发现归因于填充剂引起的全身炎症继发的类似Purtscher样视网膜病变和/或注射材料或脂肪的直接微栓塞。据作者所知，这是第一例记录在案的接受真皮填充剂丰臀的患者出现弥漫性肺泡出血和双侧缺血性视力丧失的病例。
