PURTSCHER-LIKE RETINOPATHY AND PARACENTRAL ACUTE MIDDLE MACULOPATHY CAUSED BY INDUSTRIAL SILICONE EMBOLISM
Autor: | Leonardo Moraes de Souza, Claudio Zett Lobos, Bruno Mauricio Rodrigues de Oliveira, Gabriel Costa de Andrade, Nilva Simeren Bueno de Moraes, Eduardo Cunha de Souza |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty genetic structures Embolism Posterior pole Silicones Fundus (eye) 01 natural sciences Macular Degeneration 03 medical and health sciences 0302 clinical medicine Retinal Diseases Optical coherence tomography Ophthalmology Occlusion medicine Humans Fluorescein Angiography 0101 mathematics medicine.diagnostic_test business.industry 010102 general mathematics General Medicine medicine.disease eye diseases Cotton wool spots 030221 ophthalmology & optometry Maculopathy Female sense organs medicine.symptom business Tomography Optical Coherence Retinopathy |
Zdroj: | RETINAL Cases & Brief Reports. 16:372-374 |
ISSN: | 1935-1089 |
Popis: | 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. |
Databáze: | OpenAIRE |
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