Vision Loss and Blindness Following Fillers
Ann Q. Tran, MD1, 2*, Wendy W. Lee, MD, MS1
1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL
2Manhattan Eye Ear Throat Hospital, Northwell Health, New York, NY
Facial aging associated with volume loss can be addressed with soft tissue fillers. This minimally invasive technique has quickly gained popularity and is commonly performed in many outpatient settings. The composition of injectable dermal fillers includes marketed hyaluronic acid, calcium hydroxyapatite, polylactic acid, silicone and polymethylmethacrylate. Complications, such as vision loss, are rare, but can result in a devastating and irreversible sequala from iatrogenic vascular occlusion. Understanding the facial anatomy, specific filler characteristics, and having a safe injection technique is crucial to assure optimal aesthetics results while avoiding complications. Injectors need to be able to recognize early complications and treat them appropriately, especially if vision loss is encountered. This review will focus on vision loss from fillers, techniques to prevent such complications and possible treatment strategies.
DOI: 10.29245/2767-5092/2021/1.1134 View / Download Pdf Pemphigus Vulgaris in a Black Patient: Early Recognition of Disease Saves Lives
María A. Rodríguez-Santiago*, Javier García-Marín, Alfredo Lamela-Domenech, María Vega-Martínez
Internal Medicine, School of Medicine, University of Puerto Rico, USA
There is a well-known shortage of racial diversity in medical textbooks and literature contributing to race-based health care inequalities1. We present the case of a black puertorrican 58-year-old female who developed a painful non-pruritic blistering ulcer in the inner oral mucosa with associated erythema six months prior to the evaluation. She was misdiagnosed on multiple occasions leading to a rapid progression of the disease, and subsequently, her death. Lack of images in medical textbooks and scarce literature describing initial presentation per-skin-tone of Pemphigus Vulgaris (PV) in patients with dark skin color led to misdiagnosis, delay in treatment, and thus, this catastrophic outcome. This case report describes the appearance of PV in patients with dark skin tone and serves as an educational resource by providing images of a rare skin disease in people with dark skin. The purpose of this case report is to fill major gaps in medical literature, highlight the importance of timely recognizing PV in patients with dark skin, and to create awareness among physicians.
DOI: 10.29245/2767-5092/2021/2.1137 View / Download Pdf Pressure Injury Related to Friction and Shearing Forces in Older Adults
DOI: 10.29245/2767-5092/2021/2.1136 View / Download PdfVianna V. Broderick, Linda J. Cowan*
*James A. Haley Veterans Hospital and Clinics, 13000 Bruce B. Downs Blvd, Tampa, FL 33612, USA