Hung Jia-Horung, Wang Chung-Ting, Lee Chaw-Ning, Shieh Shyh-Jou
School of Medicine.
Department of Dermatology.
Ann Plast Surg. 2021 Feb 1;86(2S Suppl 1):S127-S131. doi: 10.1097/SAP.0000000000002624.
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.
血管阻塞导致视力丧失是面部美容填充剂罕见但最具破坏性的并发症之一。在本文中，我们报告了一例31岁女性在注射透明质酸进行美容后出现单侧失明和浅表皮肤坏死的病例。通过眼底镜检查、光学相干断层扫描和荧光素血管造影显示了眼动脉阻塞的精细眼底表现。磁共振成像还显示了眼动脉阻塞后视神经和巩膜后壁随后的缺血性改变。尽管采取了包括降低眼压药物、眼球按摩以及使用乙酰水杨酸抗凝和高压氧治疗等措施，但其最终视力仍未恢复。鉴于缺乏有效的治疗方法，本报告描述了美容透明质酸填充剂注射后眼动脉阻塞的全面眼底表现，并强调了采取预防措施以避免此类灾难性并发症的重要性。
