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題名:SUBCONJUNTIVAL FAT PROLAPSE AFTER AUTOGENOUS FAT GRAFT: A CASE REPORT     (10點)
自體脂肪移植後引起之結膜下脂肪脫出-病例報告
著者:Min-Yen Hsu(許閔彥) ;Li-Chen Wei(魏利真) ;Ying-Cheng Shen(沈應誠) ;John Wang(王約翰) ;Hin-Yeung Tsai(蔡顯揚)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Conjunctiva ; complication ; fat
刊名:中華民國眼科醫學會雜誌
卷期:51卷2期(2012.10)
頁碼:227-231
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一位接受眼眶周圍自體脂肪移後引起結膜下脂肪脫出的個案。 方法:病例報告。 結果:一名51歲女性因右眼上方及外下方結膜底下出現紅腫及數個腫塊而來求診。這些腫塊是在右眼窩周圍凹陷而接受腹腔自體脂肪移植後出現。細隙燈下檢查發現數個結膜下的黃色脂肪及結膜發炎。病人在脂肪移植後一年接受結膜下脂肪的移除手術。手術中發現上方的結膜下脂肪為原眼窩脂肪脫出至結膜下。外下方的結膜下脂肪除了一大塊是由眼窩脂肪脫出,另有一些散狀的脂肪小塊為腹部吸出注射之脂肪。病理組織上發現為脂肪組織及其周邊有發炎組織細胞浸潤形成結節。眼眶的脂肪跟移植過來的脂肪脫出到結膜及鞏膜之間,可能是因在注射移植脂肪後的眼眶內壓力過大造成眼球筋膜囊(Tenon's capsule)裂開所致。 結論:我們報告一個極罕見的個案是眼眶自體移植脂肪後可能會產生結膜下脂肪脫出的併發症。眼科醫師及整型外科醫師應該小心這種併發症的可能性。
Purpose: To report an extremely rare case of subconjunctival herniated orbital fat and grafted fat after autogenous fat graft. Method: A case report. Results: A 51 year-old non-obese female suffered from redness and several subconjunctival masses in the right eye over the upper and temporal lower subconjunctival areas. The masses were noted after autogenous fat grafting from the abdomen to the periorbital hollows. The ocular examination revealed multiple subconjunctival yellow masses and conjunctival injection. Excision of the subconjunctival fat pad was done one year after autogenous fat graft surgery. The histopathology revealed fatty tissue and lipogranuloma formation with peripheral histiocyte infiltration. The orbital fat and grafted fat herniated between the conjunctiva and the sclera, presumably due to high intra-orbital pressure after fat grafting, resulting in dehiscence of the Tenon's capsule. Conclusion: We present an extremely rare case of subconjunctival fat herniation, which could be complicated after autogenous fat graft. Ophthalmologists and plastic surgeons should be aware of the possibility of this complication.


    

本卷期目次
中華民國眼科醫學會雜誌 51卷2期 (2012.10)
慢性葡萄膜炎之白內障手術/ 錢方鵬劉冠麟黃奕修
斜視治療的目標/ 黃鐘瑩高玲玉楊孟玲
The principles of realignment in Strabismus/ Sue-Ann Lin
特殊型式的斜視/ 賴昱宏
早產兒視網膜病變最新了解/ 吳為吉
小兒青光眼/ 吳國揚
CHANGES IN ANTERIOR AND POSTERIOR CORNEAL CURVATURE AFTER WEARING OVERNIGHT ORTHOKERATOLOGY LENSES/ Yi-De ChouHuey-Chuan ChengTzu-Yun ChiuChi-Wang Yau
COMPARING THE EFFECT OF CENTRAL CORNEAL THICKNESS (CCT) ON INTRAOCULAR PRESSURE AS MEASURED BY DYNAMIC CONTOUR TONOMETRY (DCT) AND NON-CONTACT (AIR-PUFF) TONOMETRY (NCT)/ Min-Chin HsiehPo-Ting YehJehn-Yu HuangTsing-Hong Wang
THE CORRELATION BETWEEN CUMULATIVE DISSIPATED ENERGY AND CORNEAL ENDOTHELIAL CELLS LOSS DURING ULTRASONIC PHACOEMULSIFICATION/ Yu-Chi TsaiHuey-Chuan Cheng
CHARACTERISTICS OF STUDENTS IN LOW VISION CLINICS OF CHANGHUA SHOW CHWAN MEMORIAL HOSPITAL FROM 2008 TO 2011/ Chan-Wei NienChing-Yang LinShih-Chun Chao
PRIMARY OPEN-ANGLE GLAUCOMA IN A PATIENT WITH PITUITARY TUMOR/ Ching-Yu WangChun-Yuan Wang
CO-INFECTION OF THE HUMAN CORNEA WITH STENOTROPHOMONAS MALTOPHILIA AND CANDIDA ALBICANS--A CASE REPORT/ Li-Chung ChiCheng-Hsien Chang
CILIOCHOROIDAL EFFUSION ASSOCIATED MYOPIC SHIFT AS THE FIRST MANIFESTATION OF SYSTEMIC LUPUS ERYTHEMATOSUS/ Chuan-Fang LuWei-Ting HoElsa Lin-Chin Mai
TRAUMATIC SUPERIOR ORBITAL FISSURE SYNDROME--A CASE REPORT/ Ya-Yun YangNancy ChenMeng-Si WuRong-Kung Tsai
THE ASSOCIATION BETWEEN MOOREN'S ULCER AND HEPATITIS C--A CASE REPORT/ Chih-Han PengKo-Hua ChenShui-Mei Lee
ACUTE RETINAL NECROSIS IN A PATIENT WITH IMMUNOSUPPRESSIVE THERAPY/ Chia-Han TsaiChyou-Shen LeeWei-Chun ChanShawn H. TsaiLee-Jen Chen
COMBINED CENTRAL RETINAL VEIN OCCLUSION WITH TRANSIENT CENTRAL RETINAL ARTERY OCCLUSION IN A YOUNG PATIENT--A CASE REPORT/ Ya-Jung ChuangI-Mo Fang
MANAGEMENT OF RETINAL DETACHMENT DUE TO GIANT RETINAL TEAR IN OSTEOGENESIS IMPERFECTA/ Min-Yu HuangHorng-Jiun WuWaun-Chen WengWen-Chuan Wu
SUBCONJUNTIVAL FAT PROLAPSE AFTER AUTOGENOUS FAT GRAFT: A CASE REPORT/ Min-Yen HsuLi-Chen WeiYing-Cheng ShenJohn WangHin-Yeung Tsai
因視網膜出血以及視神經水腫的症狀而發現的慢性骨髓性白血病病患:病例報告/ 馮士釗蔡顯揚
 
   
 
   

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