Anterior Ischemic Optic Neuropathy Following Periocular Autologous Fat Injection.

Ku, Myun; Paik, Hae Jung; Nam, Dong Heun; Lee, Dae Yeong

doi:2010.51.8.1155

J Korean Ophthalmol Soc > Volume 51(8); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(8):1155-1160.
DOI: https://doi.org/10.3341/jkos.2010.51.8.1155 Published online August 15, 2010.

Anterior Ischemic Optic Neuropathy Following Periocular Autologous Fat Injection.

Myun Ku, Hae Jung Paik, Dong Heun Nam, Dae Yeong Lee

Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea. ldy90@hanmail.net

눈 주위 자가지방이식술 후 발생한 앞허혈시신경병증

구면ㆍ백혜정ㆍ남동흔ㆍ이대영

Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea

Abstract

PURPOSE
To report an unusual case of anterior ischemic optic neuropathy and choroidal ischemia after injection of autologous fat into the periorbital region due to embolism of the short posterior ciliary artery without involving the retinal artery. CASE SUMMARY: A 39-year-old female presented with sudden blurred vision, diplopia and ptosis of her left eye immediately after receiving an autologous fat injection into the periorbital area. The first ophthalmologic examination revealed that the patient s left eye had decreased visual acuity, relative afferent pupillary defect, exotropia, and hypertropia. Fundus examination of the left eye showed disc edema. Fluorescein angiography showed multiple choroidal vascular filling defects at the early phase and wedge-shaped or geographic fluorescein staining at the superior, inferior, and temporal peripheral areas at late phase. Humphrey visual field test results disclosed an inferior visual field defect. On the follow-up visit after oral steroid therapy (prednisolone 30 mg) for 7 days, diplopia disappeared and visual acuity recovered to 1.0. The inferior visual field defect and relative afferent pupillary defect were still present.

Key Words: Autologous fat injection;Ciliary artery occlusion;Ischemic optic neuropathy