美容相关眼部损伤急性期的临床表现

目的：探讨美容相关眼部损伤急性期的临床表现。

方法： 回顾性研究。收集2016-04/2021-10因美容导致的眼部损伤患者53例89眼，分析患者急性期的临床特征，包括性别、年龄、受伤眼别、临床表现、致伤原因、治疗过程及预后。

结果：纳入53例89眼患者均为女性，年龄22-45(平均28.4±6.7)岁。单眼损伤17例，双眼损伤36例。2种或2种以上眼部损伤可累及同一眼。导致眼部损伤的主要美容操作包括：纹眼线38眼(43%)； 嫁接睫毛18眼(20%)； 去除假睫毛11眼(12%)； 涂睫毛膏8眼(9%)； 双重睑手术6眼(7%)； 其他8眼(9%)。主要眼部损伤类型包括：角膜损伤56眼(63%)； 眼睑接触性皮炎26眼(29%)； 结膜炎19眼(21%)； 眼睑反应性水肿13眼(15%)； 眼表异物12眼(14%)； 睑缘细菌性感染10眼(11%)； 其他5眼(6%)，这其中包括因眼周注射玻尿酸导致视网膜中央动脉阻塞1眼(1%)。74眼经过正规治疗可在1-2 wk内痊愈，3眼出现丝状角膜炎，视网膜中央动脉阻塞1眼预后差。

结论：美容相关眼部损伤见于中青年女性，引发眼部损伤最常见的美容操作是纹眼线，最主要损伤类型为角膜损伤。美容相关眼部损伤多数可以预防，治疗方法有效且总体预后良好。

Observation of acute clinical manifestations of cosmetology-related ocular damage

AIM: To investigate the acute clinical manifestations of cosmetology-related ocular damage(COD).

METHODS:Retrospective study. A total of 53 cases(89 eyes)with ocular damage caused by cosmetology from April 2016 to October 2021 were collected. The clinical features were analyzed, including age, gender, affected eye(s), clinical manifestations, injury cause, treatment procedures, and prognosis.

RESULTS: All 53 patients were female, aged 22-45 years, with an average age of 28.4±6.7 years. Monocular injuries were observed in 17 patients, and binocular injuries in 36 patients. The same eye could exhibit two or more ocular damage simultaneously. The primary cosmetology procedures causing COD were eyeliner tattooing(38 eyes; 43%), eyelash extensions(18 eyes; 20%), removal of false eyelashes(11 eyes; 12%), mascara application(8 eyes; 9%), double eyelid surgery(6 eyes; 7%), and others(8 eyes; 9%). Major ocular damages included corneal damage(56 eyes; 63%), eyelid contact dermatitis(26 eyes; 29%), conjunctivitis(19 eyes; 21%), reactive eyelid edema(13 eyes; 15%), ocular surface foreign bodies(12 eyes; 14%), bacterial infection of the palpebral margin(10 eyes; 11%), and others(5 eyes; 6%). These 5 eyes included 1 eye(1%)with central retinal artery occlusion caused by periocular injection of hyaluronic acid. The majority of patients(74 eyes)recovered within 1-2 wk with appropriate treatment, while filamentosa keratitis appeared in 3 eyes and the eye with central retinal artery occlusion had poor prognosis.

CONCLUSIONS: COD predominantly occurs in young and middle-aged females with cosmetology experience. The most common cosmetology procedure leading to COD is eyeliner tattooing, and corneal damage is the most significant type of COD. COD can be effectively prevented and treated, resulting in a generally favorable prognosis.