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女性,29岁。在进行注射玻尿酸隆鼻时自觉左眼及颜面部疼痛,左眼视物不见。停止注射后美容师又为其局部注射透明质酸溶解酶,具体剂量不详,未见好转,2小时后来诊。急诊查体:左眼视力无光感,左眼上睑完全下垂,左眼球固定,各方向运动均受限,左眼睑、前额部、颜面部、鼻背及鼻翼部皮肤花斑样瘀青,左眼角膜后弹力层轻微皱褶,前房轻度房闪,瞳孔直径5 mm,直接间接光反射(-),视网膜灰白水肿,视盘边界不清,黄斑区呈樱桃红色,眼压
Female, 29 years old. In the injection of hyaluronic acid rhinoplasty conscious left eye and facial pain, left eye sight disappeared. After the injection was stopped, the beautician injects hyaluronolytic enzyme into its body part. The specific dose is unknown, and no improvement has been observed. Visits are given after 2 hours. Emergency examination: the left eye sight no light feeling, the left eye eyelid completely drooping, the left eye fixed, the movement in all directions are limited, the left eyelid, forehead, facial, nasal back and nasal plaque skin ecchymosis, Left posterior corneal elasticity layer slightly wrinkled, anterior chamber mild room flash, pupil diameter 5 mm, indirect indirect light reflection (-), retinal gray edema, optic disc border is unclear, macular area was cherry red, intraocular pressure