Abstract
BackgroundAutologous fat injection is getting popular in cosmetic procedures, however, still has a risk of fat embolism. Herein, we report the first case of segmental ischaemic infarction of the iris, which occurred after autologous fat injection into the lower eyelid.Case presentationA 28-year-old Korean woman complained of the discolouration of the iris after the fat injection. Slit-lamp biomicroscopy revealed segmental depigmented atrophic iris with sectoral sphincter palsy.ConclusionsWe found that iris atrophy could be caused by autologous fat transplantation. The plastic surgeons should pay more attention to possibility of fat embolism-induced ocular complications in the procedure of fat injection.
Highlights
Autologous fat injection is getting popular in cosmetic procedures, still has a risk of fat embolism
We report the first case of segmental ischaemic infarction of the iris which occurred after autologous fat injection into the lower eyelid
Kennedy has reported a case of sectorial iris infarction in an infant with meningococcal septicaemia [4]
Summary
Autologous fat injection is getting popular in cosmetic procedures, still has a risk of fat embolism. In comparison with other substances, autologous fat injection is regarded as safer because it uses material obtained from the patient’s own body. There are several case reports of critical complications due to fat embolism following autologous fat injection into the face including visual loss and cerebral infarction [1,2,3]. We report the first case of segmental ischaemic infarction of the iris which occurred after autologous fat injection into the lower eyelid.
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