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안와부 자가지방이식술 후 시력 저하에 대한 증례보고

Other Titles
 Visual Disturbance following Autologous Fat Injection into Periorbital Area 
 전영우  ;  김성수  ;  유원민  ;  조을제  ;  탁관철  ;  설철환  ;  이영대  ;  하상욱 
 Journal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.34(5) : 663-666, 2007 
Journal Title
Journal of the Korean Society of Plastic and Reconstructive Surgery(대한성형외과학회지)
Issue Date
Autologous fat injection ; Visual disturbance
Purpose: Autologous fat injection into the facial area is a frequently used technique in aesthetic plastic surgery for augmentation of the soft tissue. Fat injection is a very safe procedure because of the advantage of being autologous tissue. Minimal foreign body reaction or infections are noted after fat injection. However, there may be some complications including those as severe as blindness. There have been some case reports on visual disturbances after autologous fat injection reported in the literature. Methods: A 21-year-old female patient underwent autologous fat injection into left eyebrow area to correct depression of soft tissue. Immediately after injection of autologous fat, she complained sudden visual loss on the left eye. She had come to our emergency room and ophthalmologic evaluation showed that the patient could only recognize hand motion. There was no abnormality of the optic nerve on magnetic resonance imaging. Suspecting an ischemic optic neuritis from fat embolism of the central retinal artery, the patient was treated conservatively with occular massage, antiglaucomatic agent, anti-inflammatory drugs and antibiotics. Visual field examination showed visual defect of half the lower hemisphere.Results: While maintaining antiglaucomatic agents and non steroidal anti inflammatory drugs, fundoscopic examination showed no abnormalities on the second day of admission. Visual field examination showed an improvement on the fourth day along with decreased eyeball pain. Significant improvement of vision was noted and the patient was discharged on the fifth day of admission. The patient was followed-up 2 days afterwards with improved vision and visual field defect.Conclusion: We describe an unusual case of sudden unilateral visual disturbance following autologous fat injection into periorbital area.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Soo(김성수) ORCID logo https://orcid.org/0000-0002-0574-7993
Seul, Chul Hwan(설철환)
Yoo, Won Min(유원민)
Lee, Young Dae(이영대)
Tark, Kwan Chul(탁관철)
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