Sasongko Muhammad Bayu, Wan Ran, Ho I-Van
Vitreo-Retinal Unit, Sydney Eye Hospital, Sydney, Australia.
Department of Ophthalmology, Faculty of Medicine Public Health and Nursing, Universitas Gadjah Mada - Sardjito Eye Center, Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
Am J Ophthalmol Case Rep. 2022 Jan 29;25:101342. doi: 10.1016/j.ajoc.2022.101342. eCollection 2022 Mar.
Presentation of a unique case of large, star-shaped retinal tear associated with orbital cosmetic filler injection.
A 55-year-old healthy female presented to emergency department with sudden onset of blurred vision on her left eye occurred after an orbital cosmetic filler injection containing hyaluronic acid (HA) performed by an aesthetic nurse. On fundus examination, the left eye showed a mild - moderate, unusual appearance vitreous haze and a large, star-shaped retinal tear temporal to macula. Optical coherence tomography (OCT) examination demonstrated a normal foveal contour without any structural damage on the retinal layers. Vitrectomy, endolaser and silicon oil tamponade were performed. Visual acuity was maintained at 6/7.5 following silicon oil removal at 6 weeks after the initial surgery.
In this particular case, immediate vitrectomy is key to avoid further complications such as retinal toxicity and detachment and to maintain optimal visual acuity. Importantly, facial cosmetic filler procedure should be performed by an adequately trained individual to avoid such complications.
介绍一例与眼眶美容填充剂注射相关的巨大星形视网膜裂孔的独特病例。
一名55岁健康女性因由一名美容护士进行的含透明质酸（HA）的眼眶美容填充剂注射后左眼突然视力模糊而就诊于急诊科。眼底检查显示左眼有轻度至中度、外观异常的玻璃体混浊以及黄斑颞侧一个巨大的星形视网膜裂孔。光学相干断层扫描（OCT）检查显示中央凹轮廓正常，视网膜各层无任何结构损伤。进行了玻璃体切除术、眼内激光光凝和硅油填充。初次手术后6周取出硅油后视力维持在6/7.5。
在这个特殊病例中，立即进行玻璃体切除术是避免进一步并发症如视网膜毒性和脱离以及维持最佳视力的关键。重要的是，面部美容填充手术应由经过充分培训的人员进行以避免此类并发症。
