title: BRAZILIAN BOOTY RETINOPATHY: PURTSCHER-LIKE RETINOPATHY WITH PARACENTRAL ACUTE MIDDLE MACULOPATHY ASSOCIATED WITH PMMA INJECTION INTO BUTTOCKS.
abstract: OBJECTIVE
  To report a case of Purtscher-like retinopathy with paracentral acute middle maculopathy preceded by febrile illness after filler injection into the buttock muscles bilaterally for cosmesis to achieve a "Brazilian booty."
  
  
  METHODS
  Retrospective case report.
  
  
  RESULTS
  A 35-year-old female presented with febrile illness and then decreased vision after repeat polymethyl methacrylate injections into her buttock muscles in Mexico. Examination was significant for retinal whitening, especially in the perifoveal areas, and intraretinal hemorrhages. Optical coherence tomography and fluorescein angiography imaging were consistent with small-vessel ischemic disease in the retina and choroid. Once systemic infection was ruled out, patient was treated with high-dose intravenous and then oral steroids. Vision recovery was good, with retinal atrophy on optical coherence tomography in the previous areas of retinal whitening.
  
  
  CONCLUSIONS
  A Purtscher-like retinopathy with paracentral acute middle maculopathy and loss of vision may occur after filler injection below the neck, not just the face. This is the first report of vision loss caused by filler injected outside the face.
authors.affiliation: Department of Ophthalmology, Southern California Permanente Medical Group, California.
authors.forename: Azadeh
authors.initials: A
authors.lastname: Khatibi
mesh_terms: D000208:Acute Disease; D000284:Administration, Oral; D000328:Adult; D001843:Bone Cements / Q000009:adverse effects; D002081:Buttocks; D005260:Female; D005451:Fluorescein Angiography / Q000379:methods; D005654:Fundus Oculi; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007267:Injections; D008266:Macula Lutea / Q000473:pathology*; D019904:Polymethyl Methacrylate / Q000008:administration & dosage / Q000009:adverse effects*; D011241:Prednisone / Q000008:administration & dosage; D012164:Retinal Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence / Q000379:methods; D014792:Visual Acuity / Q000187:drug effects*
chemical_list: D001843:Bone Cements; D005938:Glucocorticoids; D019904:Polymethyl Methacrylate; D011241:Prednisone