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Middle Cerebral Artery, Ophthalmic Artery, and Multibranch Retinal Vessel Occlusion After Cosmetic Autologous Fat Transfer to Forehead.

Abstract

A 65-year-old woman with left hemiparesis and sudden loss of visual acuity in her right eye presented a few hours after cosmetic injection of autologous fat to her forehead. Right eye visual acuity was no light perception. Funduscopy revealed widespread retinal whitening and multibranch retinal vessel occlusion. Fluorescein angiography showed markedly delayed choroidal and retinal filling together with occlusion of multiple branches of retinal arteries and veins. On magnetic resonance imaging of the brain, multiple lesions compatible with recent infarction were detected. The authors diagnosed multibranch retinal artery and vein occlusion in the right ophthalmic and middle cerebral arteries due to fat emboli. This case emphasizes the need to reevaluate the safety of such aesthetic procedures, particularly in the facial zone to prevent devastating complications.

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    MeSH

    Aged
    Arterial Occlusive Diseases
    Embolism, Fat
    Female
    Fluorescein Angiography
    Forehead
    Humans
    Middle Cerebral Artery
    Ophthalmic Artery
    Retinal Vessels
    Rhytidoplasty
    Subcutaneous Fat
    Surgery, Plastic
    Tomography, Optical Coherence
    Transplantation, Autologous

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    26057767

    Citation

    Roshandel, Danial, et al. "Middle Cerebral Artery, Ophthalmic Artery, and Multibranch Retinal Vessel Occlusion After Cosmetic Autologous Fat Transfer to Forehead." Ophthalmic Surgery, Lasers & Imaging Retina, vol. 46, no. 5, 2015, pp. 593-6.
    Roshandel D, Soheilian M, Pakravan M, et al. Middle Cerebral Artery, Ophthalmic Artery, and Multibranch Retinal Vessel Occlusion After Cosmetic Autologous Fat Transfer to Forehead. Ophthalmic Surg Lasers Imaging Retina. 2015;46(5):593-6.
    Roshandel, D., Soheilian, M., Pakravan, M., Aghayan, S., & Peyman, G. A. (2015). Middle Cerebral Artery, Ophthalmic Artery, and Multibranch Retinal Vessel Occlusion After Cosmetic Autologous Fat Transfer to Forehead. Ophthalmic Surgery, Lasers & Imaging Retina, 46(5), pp. 593-6. doi:10.3928/23258160-20150521-15.
    Roshandel D, et al. Middle Cerebral Artery, Ophthalmic Artery, and Multibranch Retinal Vessel Occlusion After Cosmetic Autologous Fat Transfer to Forehead. Ophthalmic Surg Lasers Imaging Retina. 2015;46(5):593-6. PubMed PMID: 26057767.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Middle Cerebral Artery, Ophthalmic Artery, and Multibranch Retinal Vessel Occlusion After Cosmetic Autologous Fat Transfer to Forehead. AU - Roshandel,Danial, AU - Soheilian,Masoud, AU - Pakravan,Mohammad, AU - Aghayan,Sara, AU - Peyman,Gholam A, PY - 2013/12/29/received PY - 2015/04/13/accepted PY - 2015/6/10/entrez PY - 2015/6/10/pubmed PY - 2015/12/15/medline SP - 593 EP - 6 JF - Ophthalmic surgery, lasers & imaging retina JO - Ophthalmic Surg Lasers Imaging Retina VL - 46 IS - 5 N2 - A 65-year-old woman with left hemiparesis and sudden loss of visual acuity in her right eye presented a few hours after cosmetic injection of autologous fat to her forehead. Right eye visual acuity was no light perception. Funduscopy revealed widespread retinal whitening and multibranch retinal vessel occlusion. Fluorescein angiography showed markedly delayed choroidal and retinal filling together with occlusion of multiple branches of retinal arteries and veins. On magnetic resonance imaging of the brain, multiple lesions compatible with recent infarction were detected. The authors diagnosed multibranch retinal artery and vein occlusion in the right ophthalmic and middle cerebral arteries due to fat emboli. This case emphasizes the need to reevaluate the safety of such aesthetic procedures, particularly in the facial zone to prevent devastating complications. SN - 2325-8179 UR - https://www.unboundmedicine.com/medline/citation/26057767/Middle_Cerebral_Artery_Ophthalmic_Artery_and_Multibranch_Retinal_Vessel_Occlusion_After_Cosmetic_Autologous_Fat_Transfer_to_Forehead_ L2 - http://www.healio.com/doiresolver?doi=10.3928/23258160-20150521-15 DB - PRIME DP - Unbound Medicine ER -