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Awareness of management of hyaluronic acid induced visual loss: A British National Survey
Eye ( IF 2.8 ) Pub Date : 2020-02-17 , DOI: 10.1038/s41433-020-0810-7 Varajini Joganathan 1 , Sabrina Shah-Desai 2
Eye ( IF 2.8 ) Pub Date : 2020-02-17 , DOI: 10.1038/s41433-020-0810-7 Varajini Joganathan 1 , Sabrina Shah-Desai 2
Affiliation
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Background Visual loss from aesthetic hyaluronic acid filler injections is an under-reported complication. Our study surveyed British Oculoplastic consultants and Consultant members of the British Eye Emergency Care Society, on their awareness of visual vascular complications of dermal fillers and its emergency management. Methods A prospective survey of the members of the British Oculoplastic Society and the British Eye Emergency Society, using the Survey Monkey platform. Results There were 53 responses. Eighty five percent of responders were aware of ophthalmic artery occlusion and visual loss as a recognised complication of hyaluronic acid based fillers. Six respondents had encountered at least one case of visual loss associated with HA fillers. Approximately 27% of the respondents had some experience of the recommended appropriate management of this complication. Majority of these practitioners did not have local management guidelines for this complication (88%) nor were they aware of guidance to manage the complication (75%). Conclusions This survey captures the current experience of British Ophthalmologists and Oculoplastic Surgeons in the management of visual vascular complication with dermal fillers. This may relate to the rarity of this complication. Although there is an awareness of visual loss as a complication from aesthetic dermal fillers, there appears to be a lack of knowledge of current management guidelines across Eye Specialists in UK. It is important for practitioners to be able to recognise and manage vascular compromise and further study recommendations are made.
中文翻译：
透明质酸引起的视力丧失的管理意识：英国国家调查
背景 美容透明质酸填充剂注射引起的视力丧失是一种报道不足的并发症。我们的研究调查了英国眼整形顾问和英国眼科急救协会的顾问成员，了解他们对真皮填充物的视觉血管并发症及其应急管理的认识。方法 使用 Survey Monkey 平台对英国眼整形协会和英国眼科急诊协会的成员进行前瞻性调查。结果 共有 53 条回复。85% 的响应者意识到眼动脉闭塞和视力丧失是基于透明质酸的填充剂公认的并发症。六名受访者至少遇到过一例与 HA 填充剂相关的视力丧失病例。大约 27% 的受访者对这种并发症的推荐适当管理有一些经验。这些从业者中的大多数没有针对这种并发症的本地管理指南 (88%)，他们也不知道管理并发症的指南 (75%)。结论 本次调查收集了英国眼科医生和眼整形外科医生在使用皮肤填充剂治疗视觉血管并发症方面的当前经验。这可能与这种并发症的罕见性有关。尽管人们意识到视力丧失是美容真皮填充剂的并发症，但英国眼科专家似乎缺乏对当前管理指南的了解。从业者能够识别和管理血管损伤非常重要，并提出了进一步的研究建议。
更新日期：2020-02-17
中文翻译：
透明质酸引起的视力丧失的管理意识：英国国家调查
背景 美容透明质酸填充剂注射引起的视力丧失是一种报道不足的并发症。我们的研究调查了英国眼整形顾问和英国眼科急救协会的顾问成员，了解他们对真皮填充物的视觉血管并发症及其应急管理的认识。方法 使用 Survey Monkey 平台对英国眼整形协会和英国眼科急诊协会的成员进行前瞻性调查。结果 共有 53 条回复。85% 的响应者意识到眼动脉闭塞和视力丧失是基于透明质酸的填充剂公认的并发症。六名受访者至少遇到过一例与 HA 填充剂相关的视力丧失病例。大约 27% 的受访者对这种并发症的推荐适当管理有一些经验。这些从业者中的大多数没有针对这种并发症的本地管理指南 (88%)，他们也不知道管理并发症的指南 (75%)。结论 本次调查收集了英国眼科医生和眼整形外科医生在使用皮肤填充剂治疗视觉血管并发症方面的当前经验。这可能与这种并发症的罕见性有关。尽管人们意识到视力丧失是美容真皮填充剂的并发症，但英国眼科专家似乎缺乏对当前管理指南的了解。从业者能够识别和管理血管损伤非常重要，并提出了进一步的研究建议。
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