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首页> 外文期刊>Retinal cases & brief reports >BLIND-SIDED BY COSMETIC VEIN SCLEROTHERAPY: A CASE OF OPHTHALMIC ARTERIAL OCCLUSION
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BLIND-SIDED BY COSMETIC VEIN SCLEROTHERAPY: A CASE OF OPHTHALMIC ARTERIAL OCCLUSION

机译：化妆静脉硬化治疗的盲 - 眼科动脉闭塞的情况

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Purpose: Cosmetic vein sclerotherapy is increasingly used to treat varicose veins because of its effectiveness and adherence with British Pharmacopoeia specifications. We present the first documented case of ophthalmic artery occlusion resulting in panocular ischemia secondary to intravascular injection of sodium tetradecyl sulfate sclerosant in a young healthy women seeking treatment for prominent facial veins in her forehead.Methods: The patient presented with unilateral sudden loss of vision. Funduscopy demonstrated a pale retina, cherry-red spot, and sclerosant visualized directly at the macula. She underwent emergency treatment for central retinal artery occlusion followed by fundal photographs, fluorescein angiography, and optical coherence tomography.Results: Despite intervention, the vision remained no perception to light. Magnetic resonance imaging, echocardiography, and Doppler ultrasound were unremarkable. The patient later developed neovascular sequelae requiring laser pan-retinal photocoagulation.Conclusion: Widely regarded as safe, and approved by the U.S. Food and Drug Administration, the only published ocular side effects of foam sclerotherapy are transient visual disturbances or temporary scotomas. This case demonstrates irreversible loss of vision as a previously unreported complication. While undoubtedly rare, we believe physicians and surgeons using sclerosant in the orbital adnexa, face, nose, and sinuses should be aware of this sight-threatening complication of injection and counsel potential patients accordingly.
机译：目的：化妆静脉硬化疗法越来越多地用于治疗静脉曲张，因为它具有英国药典规范的有效性和依从性。我们介绍了第一个文献的眼科动脉闭塞病例，导致对血管内注射四烷基硫酸钠硬化剂中的一个观察血管缺血在她的额头上寻求突出的面部静脉中的年轻健康妇女中。方法：患者呈现出单侧突然丧失的愿景。眼底形事物展示了苍白的视网膜，樱桃红斑和直接在黄斑处可视化的硬化剂。她接受了中央视网膜动脉闭塞的紧急治疗，然后是底座照片，荧光植物血管造影和光学相干断层扫描。结果：尽管干预，愿景仍然没有对光明感知。磁共振成像，超声心动图和多普勒超声都是不起眼的。患者后来开发了新生血管后遗症，需要激光泛骨光凝。结论：被广泛被认为是安全的，并受美国食品和药物管理局的批准，泡沫硬化疗法的唯一发表的眼部副作用是瞬时视觉紊乱或临时的苏格罗马斯。这种情况表明，视力不可逆转的丧失作为以前未报告的并发症。虽然无疑是罕见的，但我们认为医生和外科医生在轨道上的侧膜，脸，鼻子和鼻窦中应该意识到这种威胁威胁的注射和律师潜在患者的潜在患者。

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