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Unilateral Vision Loss After Hyaluronic Acid Injection
- Source :
- Annals of Plastic Surgery. 86:S127-S131
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Vascular occlusion causing vision loss is a rare yet one of the most devastating complications of facial esthetic fillers. In this article, we present a case of unilateral blindness and superficial skin necrosis in a 31-year-old woman after the injection of hyaluronic acid for esthetic purposes. The delicate ocular fundal findings of ophthalmic artery occlusion were demonstrated by ophthalmoscopy, optical coherence tomography, and fluorescein angiography. Magnetic resonance imaging also showed subsequent ischemic changes in the optic nerve and posterior scleral wall after ophthalmic artery occlusion. Despite management including intraocular pressure-lowering agents, globe massage, and anticoagulation with acetylsalicylic acid and hyperbaric oxygen therapy, her final vision was not restored. Given the lack of effective treatments, this report depicts the comprehensive ocular fundal findings of an ophthalmic artery occlusion after esthetic hyaluronic acid filler injection, and highlights the importance of a preventive approach to avoid such catastrophic complications.
- Subjects :
- Adult
medicine.medical_specialty
genetic structures
Retinal Artery Occlusion
Cosmetic Techniques
030230 surgery
Blindness
Vascular occlusion
Injections
Ophthalmoscopy
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Dermal Fillers
medicine.artery
Ophthalmology
Occlusion
Hyaluronic acid
Humans
Medicine
Hyaluronic Acid
medicine.diagnostic_test
business.industry
Magnetic resonance imaging
Fluorescein angiography
eye diseases
chemistry
030220 oncology & carcinogenesis
Ophthalmic artery
Optic nerve
Female
Surgery
sense organs
medicine.symptom
business
Subjects
Details
- ISSN :
- 15363708 and 01487043
- Volume :
- 86
- Database :
- OpenAIRE
- Journal :
- Annals of Plastic Surgery
- Accession number :
- edsair.doi.dedup.....1811895c77dbc387566644c9dcba5596