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A new injury severity scale for ocular complications following cosmetic filler injection

Authors :
Shancheng Si
Linying Lai
Xue Ding
Wei Su
Guiwen Zhou
Qihua Wang
Lei Wang
Yicong Ji
Anming Chen
Youtao Yu
Minliang Chen
Yuntao Hu
Source :
Frontiers in Bioscience-Landmark, Vol 27, Iss 2, p 059 (2022)
Publication Year :
2022
Publisher :
IMR Press, 2022.

Abstract

Background: Cosmetic filler injection can cause a variety of eye complications; however, there is currently no good way to evaluate injury severity and prognosis. By analyzing the injury manifestations of severe ocular complications following cosmetic filler injection and their prognosis, we propose a new injury severity scale. Methods: Twenty-two eyes of 22 patients experiencing ocular complications following cosmetic filler injection were followed for 6 months to observe injury characteristics, manifestations and prognosis. Best corrected visual acuity (BCVA), intraocular pressure (IOP), split lamp microscopy, fundus photography, optical coherence tomography (OCT), and fundus fluorescein angiography were examined at the onset and follow-up visits. Results: According to the immediate BCVA at the time of injury (with the presence or absence of brain infarction), a new injury severity scale was proposed, namely, Grades 1–4. Grade 1 (4 patients) and Grade 2 (2 patients) tended to have no atrophy of the globe. Grade 3 (12 patients) and Grade 4 (4 patients) were more likely to develop atrophy of the globe (4/12 patients and 2/4 patients, respectively) at the last follow-up. Grade 3 and Grade 4 were more likely to be complicated with ophthalmoplegia and ptosis (7/16 patients). Conclusions: The new injury severity scale we proposed can determine the prognosis of different ocular complications following cosmetic filler injection. Accordingly, we can inform injured patients regarding the possibility of phthisis bulbi and the extent of improvement of visual impairment, ophthalmoplegia, ptosis and stroke.

Details

Language :
English
ISSN :
27686701
Volume :
27
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Frontiers in Bioscience-Landmark
Publication Type :
Academic Journal
Accession number :
edsdoj.0bc1a7fb8105492aac54a99f41ad960b
Document Type :
article
Full Text :
https://doi.org/10.31083/j.fbl2702059