Subscribe to RSS
Download PDF
DOI: 10.1055/a-1785-4957
Acute Unilateral Vision Loss and Dermal Necrosis after Nose Filler Injection
Akuter einseitiger Visusverlust und Hautnekrose nach Filler-Injektion
Background
Dermal fillers are commonly used in aesthetic medicine to enhance and contour facial features. Appealing features of these interventions consist in minimal downtime compared to surgical procedures and the reversibility of its effects with many subtypes of fillers. Accidental intravascular injection in nonsurgical rhinoplasty and the glabella area with a hyaluronic acid- (HA) or calcium hydroxyapatite-based filler with subsequent occlusion of retinal vessels is a very rare, yet increasingly frequent, complication associated with blindness.
Publication History
Received: 22 October 2021
Accepted: 27 February 2022
Article published online:
26 April 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Kapoor KM, Kapoor K, Heydenreych I. et al. Vision Loss associated with Hyaluronic Acid Fillers: A Systematic Review of Literature. Aesthetic Plast Surg 2019; 44: 929-944
- 2 Funt D, Pavicic T. Dermal fillers in aesthetics: An Overview of adverse events and treatment approaches. Clin Cosmet Investig Dermatol 2013; 6: 295-316
- 3 Osborne NN, Casson RJ, Wood JPM. et al. Retinal ischemia: Mechanisms of damage and potential therapeutic strategies. Prog Retin Eye Res 2013; 23: 91-147
- 4 Tansatit T, Moon JH, Apinuntrum P. et al. Verification of embolic channel causing blindness following filler injection. Aesthetic Plast Surg 2015; 39: 154-161
- 5 Park KH, Kim YK, Woo SJ. et al. Iatrogenic occlusion of the ophthalmic artery after cosmetic facial filler injections: A national survey by the Korean Retinal Society. JAMA Ophthalmol 2014; 132: 714-723
- 6 Tucunduva MJ, Tucunduva-Neto R, Saieg M. et al. Vascular mapping of the face: B-mode and doppler ultrasonography study. Med Oral Patol Oral Cir Bucal 2016; 21: e135-e141
- 7 Loh KTD, Phoon YS, Phua V. et al. Successfully managing impending skin necrosis following hyaluronic acid filler injection, using high-dose pulsed hyaluronidase. Plast Reconstr Surg Glob Open 2018; 6: e1639
- 8 Wibowo A, Kapoor KM, Philipp-Dormston WG. Reversal of post-filler vision loss and skin ischemia with high-dose pulsed hyaluronidase injections. Aesthetic Plast Surg 2019; 43: 1337-1344
- 9 Graue G, Ochoa Araujo DA, Plata Palazuelos C. et al. The M.A.STE.R.S algorithm for acute vision loss management after facial filler injection. J Cosmet Dermatol 2020; 19: 2859-2866