Severe vision loss caused by cosmetic filler augmentation: Case series with review of cause and therapy

Journal of Cosmetic Dermatology
Wilai ThanasarnaksornAtchima Suwanchinda

Abstract

Hyaluronic acid (HA) injection is a popular nonsurgical, facial rejuvenating procedure. Due to the rapidly expanding use of HA injections, significant potential complications have also increased in frequency. Among these complications, the rare but most devastating one is arterial occlusion, which can result in skin necrosis or blindness. To describe the mechanisms behind vision loss secondary to hyaluronic acid injection and the efficacy of treatments to restore vision and associated ocular functionality. We reviewed six cases of patients from October 2011 to December 2017 who experienced vision loss after receiving facial HA injections and the subsequent treatments undertaken to attempt to reverse the vision loss and additional eye complications. Of the six patients, four received nose, one received forehead, and another one received temple injections. All six patients developed vision loss secondary to hyaluronic acid embolization in retinal or ophthalmic arteries. Additional complications included severe periorbital pain, ptosis, impairment of extraocular muscle functionality. Recovery of vision was dependent on the type, frequency, and duration of subsequent treatment. Vision loss is a rare but catastrophic complication ca...Continue Reading

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Citations

Oct 12, 2018·Aesthetic Surgery Journal·Jean Carruthers
Jul 2, 2019·Current Opinion in Ophthalmology·Rachna MurthyRobert A Goldberg
Oct 15, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Ji-Hyun LeeHee-Jin Kim
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Jan 14, 2022·Annals of Plastic Surgery·Dan Li, Hengshu Zhang

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