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Observations: A 44-year-old female experienced transient vision loss, then a persistent arc-like scotoma one month post-procedure; imaging showed delayed perfusion, decreased retinal thickness, and left ophthalmic artery occlusion. Intra-arterial tissue plasminogen activator was given, with subjective worsening, expanded scotoma, new RAPD, and retinal ischemia. Coagulation, autoimmune testing, and echocardiogram were unremarkable. Conclusion: Highlights potential ocular complications after non-facial cosmetic procedures and the need to review cosmetic surgery history when assessing unexplained visual symptoms.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/suspected-ophthalmic-artery-fat-embolus-following-bilateral-elbow-liposuction-case-report/440764/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/suspected-ophthalmic-artery-fat-embolus-following-bilateral-elbow-liposuction-case-report/440764.png","ImageObject",300,407,{"name":92,"@type":93},"Himbo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What procedure preceded the suspected ophthalmic artery fat embolus?","Question",{"text":112,"@type":113},"The patient underwent bilateral elbow liposuction.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What were the key visual symptoms and imaging findings?",{"text":117,"@type":113},"She developed transient vision loss followed by a persistent arc-like scotoma. Ophthalmic examination and imaging showed delayed perfusion, decreased retinal thickness, and occlusion of the left ophthalmic artery.",{"name":119,"@type":110,"acceptedAnswer":120},"Why were other causes considered less likely in this case?",{"text":121,"@type":113},"Coagulation studies, autoimmune studies, and echocardiogram imaging showed no remarkable findings, reducing the likelihood of other vascular or embolic etiologies.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},440764,1790764867,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","American Journal of Ophthalmology Case Reports 41 (2026) 102493  \nContents lists available at ScienceDirect  \nAmerican Journal of Ophthalmology Case Reports  \njournal [homepage:](homepage: www.ajocasereports.com/)[ www.ajocasereports.com/](homepage: www.ajocasereports.com/)  \n| Suspected ophthalmic artery fat embolus following bilateral elbow liposuction☆\u003Cbr>Krishna Sinha a , Marie A. Di Nome b,c , Odette M. Houghton b,* \u003Cbr>a Alix School of Medicine, Mayo Clinic, Phoenix, AZ, USA b Department of Ophthalmology, Mayo Clinic, Scottsdale, AZ, USAc Department of Neurological Surgery, Mayo Clinic, Phoenix, AZ, USA |  |\n| --- | --- |\n| A R T I C L E I N F O\u003Cbr>Keywords: Scotoma Fat embolus\u003Cbr>Maculopathy Ischemia Liposuction | A B S T R A C T\u003Cbr>Purpose: To present a rare case of a suspected ophthalmic artery fat embolus in a patient who underwent bilateral elbow liposuction.\u003Cbr>Observations: The patient, a 44-year-old female with past smoking history and stable meningioma with no associated symptoms, presented with episodes of transient vision loss followed by a persistent “arc-like” scotomain her left eye one month after bilateral elbow liposuction. Ophthalmic examination and imaging of the left eye revealed a visual acuity of 20/25, a paracentral scotoma, delayed perfusion, and decreased retinal thickness. Ahead and neck computerized tomography angiogram with intravenous contrast and diagnostic cerebral angiogram identified occlusion of the left ophthalmic artery. Following this, she received intra-arterial tissue plasminogen activator, after which her vision subjectively deteriorated, accompanied by an enlargement of the paracentral scotoma, the development of a new relative afferent pupillary defect, and additional areas of retinal ischemia. Coagulation studies, autoimmune studies, and echocardiogram imaging showed no remarkable findings, thereby decreasing the likelihood of other vascular or embolic etiologies. At her most recent follow-up visit, five months post-presentation, she reported no worsening of her symptoms or scotoma. Examination and imaging demonstrated stabilization of her ocular findings.\u003Cbr>Conclusions and importance: This case highlights the potential risk of ocular complications following non-facial cosmetic procedures, emphasizing the need for ophthalmologists to carefully review patients’ cosmetic surgery histories when assessing unexplained visual symptoms. |\n\n1. Introduction  \nCosmetic procedures are becoming increasingly popular as people focus more on aesthetics in their medical care. Though rare, complications of varying severity have been reported.1 In facial fat grafting, fatemboli have been observed in the ophthalmic artery and its branches, leading to vision-threatening complications such as permanent vision loss. Currently, there are few reports of fat emboli to the ophthalmic artery following non-facial cosmetic procedures.2 Our case illustrates a patient with a suspected fat embolus observed in the left ophthalmic artery following bilateral elbow liposuction.  \n2. Case report  \nA 44-year-old female, past cigarette smoker, with an incidental asymptomatic meningioma, and recent intentional weight loss, no other past medical or ophthalmic history, presented with recurrent episodes of left-sided amaurosis fugax, with no associated headache, eye pain, or other neurological symptoms. Initially, her vision returned to normal after each episode, but following another episode two weeks later, she developed a persistent \"arc-like\" scotoma in her left nasal visual field.  \nOne month later, she presented to our emergency department. At initial presentation, she had no known vascular risk factors, history of recent trauma, or reported surgeries. She underwent a workup including a computed tomography head and neck angiogram with intravenous  \n☆ Prior presentations: As part of a poster presentation at the Western Medical Research Conference from January 16–18, 2025 in Carmel, California, an abstract of this pr","cbCaiqdIgXZCmKz0","https://ap.wps.com/l/cbCaiqdIgXZCmKz0","pdf",4345210,"English","# Abstract\n# Introduction\n# Case report","[{\"question\":\"What procedure preceded the suspected ophthalmic artery fat embolus?\",\"answer\":\"The patient underwent bilateral elbow liposuction.\"},{\"question\":\"What were the key visual symptoms and imaging findings?\",\"answer\":\"She developed transient vision loss followed by a persistent arc-like scotoma. Ophthalmic examination and imaging showed delayed perfusion, decreased retinal thickness, and occlusion of the left ophthalmic artery.\"},{\"question\":\"Why were other causes considered less likely in this case?\",\"answer\":\"Coagulation studies, autoimmune studies, and echocardiogram imaging showed no remarkable findings, reducing the likelihood of other vascular or embolic etiologies.\"}]","Suspected Ophthalmic Artery Fat Embolus Following Bilateral Elbow Liposuction - Case Report | PDF",1790693282,13]