Purtscher-Like Retinopathy and Diffuse Alveolar Hemorrhage Caused by Soft Tissue Injection for Gluteal Augmentation.

摘要: Purpose: To describe a rare occurrence of acute vision loss and diffuse alveolar hemorrhage following treatment injectable gluteal cosmetic filler. Patient methods: A 20-year-old female underwent injection unknown components for augmentation. Within hours she developed progressive shortness breath secondary to hemorrhage. She presented ophthalmology 6 weeks later with history bilateral decreased vision. Clinical examination revealed cotton wool spots retinal hemorrhages. Fluorescein angiography demonstrated macular vascular pruning an enlarged foveal avascular zone. Results: The patient was observed did not improve after 8 months follow-up. Conclusion: These findings were attributed Purtscher-like retinopathy systemic inflammation induced by the filler and/or direct microembolization injected material or fat. best authors’ knowledge, this is first documented case ischemic in undergoing augmentation dermal