눈 주위 자가지방이식술 후 발생한 앞허혈시신경병증

• 영문명: Anterior Ischemic Optic Neuropathy Following Periocular Autologous Fat Injection
• 발행기관: 대한안과학회
• 저자명: 구면 백혜정 남동흔 이대영,Myun Ku, MD, Hae Jung Paik, MD, PhD, Dong Heun Nam, MD, PhD, Dae Yeong Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number8, 1155~1160쪽, 전체 6쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2010.08.15

영문 초록

Purpose: To report an unusual case of anterior ischemic optic neuropathy and choroidal ischemia after injection of autologous fat into the periorbital region due to embolism of the short posterior ciliary artery without involving the retinal artery. Case summary: A 39-year-old female presented with sudden blurred vision, diplopia and ptosis of her left eye immediately after receiving an autologous fat injection into the periorbital area. The first ophthalmologic examination revealed that the patient s left eye had decreased visual acuity, relative afferent pupillary defect, exotropia, and hypertropia. Fundus examination of the left eye showed disc edema. Fluorescein angiography showed multiple choroidal vascular filling defects at the early phase and wedge-shaped or geographic fluorescein staining at the superior, inferior, and temporal peripheral areas at late phase. Humphrey visual field test results disclosed an inferior visual field defect. On the follow-up visit after oral steroid therapy (prednisolone 30 mg) for 7 days, diplopia disappeared and visual acuity recovered to 1.0. The inferior visual field defect and relative afferent pupillary defect were still present. J Korean Ophthalmol Soc 2010;51(8):1155-1160

키워드

Autologous fat injection, Ciliary artery occlusion, Ischemic optic neuropathy