Traumatic cataract following high-intensity focused ultrasound eyelid procedure
Carlos Augusto Moreira Neto, José Pereira do Rêgo Neto, Thiago Meister

Abstract
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Taxonomy
TopicsIntraocular Surgery and Lenses · Facial Trauma and Fracture Management · Traumatic Ocular and Foreign Body Injuries
High-intensity focused ultrasound (HIFU) is a noninvasive procedure commonly used for skin tightening. However, it has the potential to cause severe ocular complications^(1^,^2)^.
A 29-year-old female presented with complaints of “white spots” in her right eye’s visual field following an eyelid HIFU application. Slit-lamp examination revealed four small lens opacities located outside the visual axis. Anterior segment optical coherence tomography confirmed focal opacities in the lens (Figure 1).
This case highlights the necessity for stringent ocular protection during HIFU procedures. Given the increasing popularity of HIFU for cosmetic applications, its risks may be underestimated^(3)^. Qualified practitioners must ensure patient safety by implementing appropriate protective measures.
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- 1Ikoma T Shibata T Shibata N Mito T Kubo E Sasaki H. Acute cataract by a high-intensity focused ultrasound procedure: A case report BMC Ophthalmol 20222211643539753110.1186/s 12886-022-02390-2PMC 8994384 · doi ↗ · pubmed ↗
- 2Izadifar Z Izadifar Z Chapman D Babyn P. An introduction to high intensity focused ultrasound: systematic review on principles, devices, and clinical applications J Clin Med 2020924603204607210.3390/jcm 9020460 PMC 7073974 · doi ↗ · pubmed ↗
- 3Strauss RW Bolz M. Lens opacity following high-intensity focused ultrasound JAMA Ophthalmol 202013822152163183020710.1001/jamaophthalmol.2019.4963 · doi ↗ · pubmed ↗
