Sudden unilateral visual loss after autologous fat injection into the nasolabial fold

Sang Hyouk Park, Hae Jung Sun, Kyung Seek ChoiDepartment of ophthalmology, Soonchunhyang University College of Medicine, Seoul, KoreaAbstract: A 27-year-old female presented with sudden visual loss of her right eye after receiving an autologous fat injection into the right nasolabial fold. Fundus ex...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sang Hyouk Park, Hae Jung Sun, Kyung Seek Choi
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/17d6df6bac7f43ad85400bb3cfd28567
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:17d6df6bac7f43ad85400bb3cfd28567
record_format	dspace
spelling	oai:doaj.org-article:17d6df6bac7f43ad85400bb3cfd285672021-12-02T03:25:01ZSudden unilateral visual loss after autologous fat injection into the nasolabial fold1177-54671177-5483https://doaj.org/article/17d6df6bac7f43ad85400bb3cfd285672008-10-01T00:00:00Zhttp://www.dovepress.com/sudden-unilateral-visual-loss-after-autologous-fat-injection-into-the--a2423https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Sang Hyouk Park, Hae Jung Sun, Kyung Seek ChoiDepartment of ophthalmology, Soonchunhyang University College of Medicine, Seoul, KoreaAbstract: A 27-year-old female presented with sudden visual loss of her right eye after receiving an autologous fat injection into the right nasolabial fold. Fundus examination of the right eye showed multiple whitish patchy lesions with macular edema. Fluorescein angiogram showed deterioration of choroidal circulation with patchy choroidal filling and arm-to-retina circulation time and retinal arteriovenous passage time were delayed to 30 seconds and 20 seconds, respectively. There was no response in flash visual evoked potential (VEP). High dose steroid therapy (methylprednisolone 1 g/day/i.v.) was done and about 2 weeks later, the disc edema subsided and retinal arteriovenous passage time of fluorescein angiogram was normalized but there was no improvement in visual acuity. Absence of a cherry red spot, deterioration of choroidal circulation with patchy choroidal fillings seen in fluorescein angiogram, and no response in flash VEP suggests multiple choroidal infarction due to perfusion defect of the short posterior ciliary artery. The autologous fat injected is thought to have entered the dorsal nasal artery and the retrograde migration of the emboli to the ophthalmic artery might have caused the multiple occlusions of the short posterior ciliary artery.Keywords: autologous fat injection, ciliary artery occlusion, ischemic optic neuropathy Sang Hyouk ParkHae Jung SunKyung Seek ChoiDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 3, Pp 679-683 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Sang Hyouk Park Hae Jung Sun Kyung Seek Choi Sudden unilateral visual loss after autologous fat injection into the nasolabial fold
description	Sang Hyouk Park, Hae Jung Sun, Kyung Seek ChoiDepartment of ophthalmology, Soonchunhyang University College of Medicine, Seoul, KoreaAbstract: A 27-year-old female presented with sudden visual loss of her right eye after receiving an autologous fat injection into the right nasolabial fold. Fundus examination of the right eye showed multiple whitish patchy lesions with macular edema. Fluorescein angiogram showed deterioration of choroidal circulation with patchy choroidal filling and arm-to-retina circulation time and retinal arteriovenous passage time were delayed to 30 seconds and 20 seconds, respectively. There was no response in flash visual evoked potential (VEP). High dose steroid therapy (methylprednisolone 1 g/day/i.v.) was done and about 2 weeks later, the disc edema subsided and retinal arteriovenous passage time of fluorescein angiogram was normalized but there was no improvement in visual acuity. Absence of a cherry red spot, deterioration of choroidal circulation with patchy choroidal fillings seen in fluorescein angiogram, and no response in flash VEP suggests multiple choroidal infarction due to perfusion defect of the short posterior ciliary artery. The autologous fat injected is thought to have entered the dorsal nasal artery and the retrograde migration of the emboli to the ophthalmic artery might have caused the multiple occlusions of the short posterior ciliary artery.Keywords: autologous fat injection, ciliary artery occlusion, ischemic optic neuropathy
format	article
author	Sang Hyouk Park Hae Jung Sun Kyung Seek Choi
author_facet	Sang Hyouk Park Hae Jung Sun Kyung Seek Choi
author_sort	Sang Hyouk Park
title	Sudden unilateral visual loss after autologous fat injection into the nasolabial fold
title_short	Sudden unilateral visual loss after autologous fat injection into the nasolabial fold
title_full	Sudden unilateral visual loss after autologous fat injection into the nasolabial fold
title_fullStr	Sudden unilateral visual loss after autologous fat injection into the nasolabial fold
title_full_unstemmed	Sudden unilateral visual loss after autologous fat injection into the nasolabial fold
title_sort	sudden unilateral visual loss after autologous fat injection into the nasolabial fold
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/17d6df6bac7f43ad85400bb3cfd28567
work_keys_str_mv	AT sanghyoukpark suddenunilateralvisuallossafterautologousfatinjectionintothenasolabialfold AT haejungsun suddenunilateralvisuallossafterautologousfatinjectionintothenasolabialfold AT kyungseekchoi suddenunilateralvisuallossafterautologousfatinjectionintothenasolabialfold
_version_	1718401779521028096

Sudden unilateral visual loss after autologous fat injection into the nasolabial fold

Ejemplares similares