Ocular Complications Following Autologous Fat Injections into Facial Area: Case Report of a Recovery from Visual Loss After Ophthalmic Artery Occlusion and a Review of the Literature.

With the increase in popularity of the use of cosmetic fillers in plastic and esthetic surgery, the possibility of severe ocular complications should not be neglected. Of the fillers used, autologous fat is the most common to cause permanent visual deterioration, one of the most severe complications associated with the use of cosmetic fillers. Here we present the first report of a complete recovery of visual acuity from an instance of visual loss with no light perception caused by ophthalmic artery occlusion of the right eye following autologous fat injection in the facial area. Immediate ophthalmological intervention and comprehensive therapy with prostaglandins and vinpocetine made it possible to restore retinal perfusion and achieve complete recovery of visual acuity. Awareness of the iatrogenic artery occlusions associated with facial fillers and the need for immediate treatment should be popularized among injectors to prevent devastating consequences, such as permanent vision loss. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Neuromarkers of anxiety and depression in a patient after neuro-ophthalmic surgery of the meningioma - effect of individually-tailored tDCS and neurofeedback.

UNLABELLED: The aim of the study was to evaluate the effectiveness of individually tailored anodal tDCs/ neurofeedback protocol for the reduction of post-operative depression after a neuroophtalmological operation of the meningioma. The neuromarkers in Quantitative EEG (QEEG) and Event-related potentials (ERPs) were utilized in the construction of protocol and evaluation. CASE DESCRIPTION: A 45-year-old female after successful neuro-ophthalmic surgery of the meningioma, complained of severe pain and anxiety, difficulties with sleeping, attention and memory problems, as well as inability to continue working in her given profession. Neuropsychological testing showed lack of cognitive disturbances and post-operative depression. Two working hypotheses were tested to find neuromarkers of depression and anxiety. In line with the 'depression hypothesis' a frontal alpha asymmetry pattern was found in the patient, and in line with the 'anxiety' hypothesis an increased left temporal P1 wave in response to visual stimuli was found in ERPs. A specific alpha asymmetry neurofeedback protocol combined with an anodal tDCS was suggested. Twenty sessions of individually-tailored anodal tDCs/ neurofeedback protocol were performed. The QEEG frontal asymmetry pattern and the excessive temporal P1 wave were normalized after the intervention. CONCLUSIONS: The patient recovered from post-operative depression and returned to work after 20 sessions of the combined neurofeedback/tDCS protocol. Specific patterns of QEEG and ERPs serve as neuromarkers for constructing the protocol and for monitoring the results of intervention.

[Perforating eye injury with retained inorganic intraorbital foreign body--case report]. / Uraz perforujacy galki ocznej z pozostawieniem nieorganicznego ciala obcego w oczodole--opis przypadku.

Authors would like to present a case of perforating eye injury with inorganic foreign body, which consequently stick behind the globe in muscular cone space. We discuss visual prognosis after injury which depends on injury mechanism, wound extension and localization as well as tolerance of intraorbital foreign body through eye's tissue and prevention of eye injuries. We would like to stress the necessity of meticulous primary microsurgical repair and possible secondary surgical reparation to reduce posttraumatic visual loss. There is also a possibility of late complication due to vitreoretinal proliferation as a consequence of healing process.

[Necrotic central retinitis due to the lupus erythematosus]. / Martwicze zapalenie centralnej siatkówki w przebiegu tocznia trzewnego.

We present a case of a twenty six years old patient who had been treated for systemic lupus erythematosus (SLE) for five years. The patient developed a sudden significant disturbance of vision quality of both eyes. A lot of additional examinations were done and central necrotic retinitis was diagnosed. After treatment insignificant improvement of vision quality of both eyes was achieved.