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Arq. Bras. Oftalmol. 2025; 88 (2): 10.5935/0004-2749.2023-0248

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Unilateral acute cataract after facial aesthetic procedure: a case report

Rafael Norio Makibara; Leonardo Pimenta de Oliveira; Marcela Drummond de Andrade Rocha

DOI: 10.5935/0004-2749.2023-0248

ABSTRACT

Aging and face sagging have many causes, and various techniques are used for treatment, including noninvasive procedures, such as focused ultrasound, which uses the principle of collagen regeneration by coagulative necrosis of the dermis layers using radiofrequency, but this procedure has complications. We reported a case of a 54-year-old female patient who complained of poor visual acuity in her right eye three days after a focused ultrasound facial aesthetic procedure, with the best visual acuity of 20/60. Biomicroscopy of the right eye revealed an acute cataract with three points of fibrosis extending from the posterior to the anterior capsule. The patient underwent phacoemulsification surgery with visual rehabilitation and improved vision of 20/20. We hypothesized that the occurrence of acute cataract was related to the inappropriate use of focused ultrasound.

Keywords: Cosmetic techniques; Skin aging; Rejuvenation; Ultrasonic therapy/adverse effects; High-intensity focused ultrasound ablation/methods; Cataract/etiology; Phacoemulsification; Lens implantation, intraocular; Visual acuity; Humans; Middle age; Female; Case


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How to cite this article:

Makibara RN, Oliveira LP, Rocha MDA. Unilateral acute cataract after facial aesthetic procedure: a case report. Arq. Bras. Oftalmol. 2025;88(2): e2023-0248:1-4. 10.5935/0004-2749.2023-0248
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