RESUMO
A 31-year-old male with acute blurred vision and respiratory distress occurring three days after a penile filler injection was found to have outer plexiform layer hyperreflectivity on optical coherence tomography (OCT), consistent with paracentral acute middle maculopathy (PAMM). He was diagnosed with diffuse bilateral pneumonitis and silicone embolism syndrome requiring inpatient management. Following systemic stabilization, his vision and OCT findings improved. PAMM may be associated with silicone embolism syndrome in the presence of acute central scotomas and minimal retinal findings. Penile filler injections could contribute to retinal vaso-occlusion via an embolic process. PAMM may be self-limited and result in functional vision. [Ophthalmic Surg Lasers Imaging Retina 2022;53:635-638.].
Assuntos
Embolia , Degeneração Macular , Doenças Retinianas , Masculino , Humanos , Adulto , Angiofluoresceinografia/métodos , Silicones/efeitos adversos , Doenças Retinianas/diagnóstico , Tomografia de Coerência Óptica/métodos , Embolia/diagnóstico , Embolia/etiologia , Doença Aguda , Vasos RetinianosRESUMO
This report describes two cases of severe, bilateral ischemic retinal vasculitis following cataract surgeries at different surgical centers. In both cases, the patient underwent bilateral cataract surgeries, performed 1 week apart for each eye. In the perioperative period following the second of the two surgeries, both patients developed severe, bilateral intraocular inflammation and profound vision loss. The underlying cause of this adverse response remains unknown. The authors suggest that the severe inflammatory reaction could be related to an intraoperative intracameral vancomycin injection.
