PDF(Pubmed)
Abstract：
The emergence and popularity of cosmetic facial procedures may lead to significant ophthalmic complications such as ocular motility dysfunction and visual disability. Here, we present a scoping review to identify common ophthalmic complications in some facial plastic surgeries and cosmetic injections, and to develop clinical approaches for prophylaxis and management in terms of direct attention and awareness of non-ophthalmologists toward such scenarios and appropriate intervention. This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The following keywords were used to search PubMed, Scopus, Web of Science, and Google Scholar: \"facial laser\", \"facial fillers\", \"facial injections\", \"hyaluronic acid\", \"local facial injections of botulinum toxin\", \"rhinoplasty\", \"blepharoplasty blindness\", \"ophthalmoplegia\", \"diplopia\", \"ptosis\", \"ophthalmic artery occlusion\", \"posterior ciliary artery occlusion\", and \"ocular ischemic syndrome\". A total of 37 articles published between 1989 and 2021 were included, of which 21 were case reports. The most common ophthalmic complication was vision loss (0.0008%). The risk of ophthalmic complications including ocular pain, sudden unilateral or bilateral vision loss, flashes of light, ptosis, and ophthalmoplegia increase with injection in common anatomical regions like the glabella, nose, and supraorbital and nasolabial folds. The incidence of adverse events ranges from 5% to 18% in rhinoplasty. The most common complications after blepharoplasty were dry eye syndrome and diplopia, caused by eyelid ptosis. Eyelid, cornea, lens, and retina injuries are ophthalmic complications that occur after facial laser treatment. Ophthalmic complications after non-ophthalmic and cosmetic procedures are becoming increasingly common. The cumulative reported cases of ophthalmic complications after hyaluronic acid filler injection from 2016 to 2020 showed different types of adverse events, with the most common being decreased visual acuity, unilateral vision loss, and ptosis, with varying outcomes of each complication ranging from partial resolution to complete recovery. These complications must be recognized early, and prompt treatment must be established.
摘要：
美容面部程序的出现和普及可能导致严重的眼科并发症，例如眼运动功能障碍和视力障碍。这里,我们提出了一个范围审查，以确定一些面部整形手术和美容注射中常见的眼科并发症，并根据非眼科医生对这种情况的直接关注和认识以及适当的干预措施，开发预防和管理的临床方法。本综述是根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行的。以下关键字用于搜索PubMed,Scopus,WebofScience,和谷歌学者：“面部激光”，“面部填充物”，“面部注射”，\"透明质酸\",“局部面部注射肉毒杆菌毒素”，\"隆鼻\",“眼睑成形术失明”，“眼肌麻痹”，“复视”，\"眼睑下垂\",“眼动脉闭塞”，“睫状后动脉闭塞”，和“眼缺血综合征”。共收录了1989年至2021年期间发表的37篇文章，其中21例为病例报告。最常见的眼科并发症是视力下降（0.0008%）。包括眼部疼痛在内的眼科并发症的风险，突然的单侧或双侧视力丧失，闪光，上睑下垂,眼肌麻痹会随着常见解剖区域如glabella的注射而增加，鼻子,眶上和鼻唇沟。在隆鼻术中，不良事件的发生率为5％至18％。眼睑成形术后最常见的并发症是干眼综合征和复视，眼睑下垂引起的.眼睑,角膜,镜头,视网膜损伤是面部激光治疗后发生的眼科并发症。非眼科和美容手术后的眼科并发症变得越来越普遍。2016年至2020年透明质酸填充剂注射后眼科并发症的累计报告病例显示不同类型的不良事件。最常见的是视力下降，单侧视力丧失,和上睑下垂，从部分解决到完全恢复，每种并发症的结果各不相同。这些并发症必须及早发现，必须建立及时的治疗。
