美容整形眼部并发症的研究进展

doi:10.3877/cma.j.issn.2095-2007.2025.03.008

近年来，随着审美观念的进步和对美容需求的增加，与眼部有关的美容整形逐渐成为新兴的热门话题。重睑术、美妆品的应用以及注射美容是眼部美容整形的主要方式。重睑术常见的并发症有双眼重睑不对称、重睑消失、血肿、感染、上睑下垂、干眼及埋线相关角膜炎等。美妆品引发的并发症有感染性眼表疾病、免疫相关性眼表疾病、眼睑黑色素减少性低色素病及葡萄膜炎等。注射美容的并发症有视网膜动脉阻塞、组织水肿、睑注射区域特征性蓝灰色改变、迟发性结节、眶周肿胀及上睑下垂等。目前，业内对各种眼部美容整形并发症发病机制的研究尚未完全确切，其预防和治疗措施仍有提高的空间。眼部美容整形方法有待材料选型、术式创新以及优化研究；同时，针对重睑术、美妆品的应用以及注射美容的操作规范，有待尽早出台专家共识与标准。本文中笔者对上述美容方法的原理进行阐述，并对其眼部并发症的发病机制、治疗方法及预防措施进行综述。

关键词: 重睑术, 睫毛膏, 眼线笔, 永久性眼线纹绣, 睫毛延长术, 美容性角膜接触镜, 注射美容术

In recent years, with the advancement of aesthetic concepts and the increasing demand for beauty, aesthetic surgeries related to the eyes have gradually become a popular and emerging topic. Double eyelid surgery, the application of beauty products, and injectable aesthetics are the primary methods of eye-related aesthetic surgeries. Common complications of double eyelid surgery include asymmetry of the double eyelids, disappearance of the double eyelids, hematoma, infection, ptosis, dry eye, and keratitis related to buried sutures. Complications caused by beauty products include infectious ocular surface diseases, immune-related ocular surface diseases, hypopigmentation of the eyelids due to melanocyte reduction, and uveitis. Complications of injectable aesthetics include retinal artery occlusion, tissue edema, characteristic bluish-gray changes in the eyelid injection area, delayed nodules, periorbital swelling, and ptosis. Currently, the research on the pathogenesis of various complications in eye-related aesthetic surgeries is not yet fully understood, and there is room for improvement in their prevention and treatment measures. The methods of eye-related aesthetic surgeries require further development in material selection, surgical innovation, and optimization studies. Additionally, there is a need for the early establishment of expert consensus and standards regarding the techniques of double eyelid surgery, the use of beauty products, and injectable aesthetics. In this paper, the principles of these aesthetic methods and the pathogenesis, treatment methods, and preventive measures for their associated ocular complications was reviewed.

Key words: Double eyelid surgery, Mascara, Eyeliner, Permanent eyeliner tattoo, Eyelash lengthening, Cosmetic contact lens, Aesthetic injection

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Research progress on ocular complications of blepharoplasty and cosmetic enhancements

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Research progress on ocular complications of blepharoplasty and cosmetic enhancements