2013
DOI: 10.1001/jamaophthalmol.2013.1603
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Sudden Bilateral Vision Loss and Brain Infarction Following Cosmetic Hyaluronic Acid Injection

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Cited by 44 publications
(22 citation statements)
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“…More recently, other substances started to demonstrate potential benefits, as well as similar adverse effects. For hyaluronic acid, unilateral vision loss is already well documented, and a case of bilateral vision loss is already presented . Treatment with hyaluronidase has been performed in other aspects but no definitive result for vision recovery is known.…”
Section: Resultsmentioning
confidence: 99%
“…More recently, other substances started to demonstrate potential benefits, as well as similar adverse effects. For hyaluronic acid, unilateral vision loss is already well documented, and a case of bilateral vision loss is already presented . Treatment with hyaluronidase has been performed in other aspects but no definitive result for vision recovery is known.…”
Section: Resultsmentioning
confidence: 99%
“…37 Possible complications with HA fillers include vascular emboli and necrosis, 3842 ocular ischemia, 27 vision loss, 26,28,29 discoloration/Tyndall effect, 43 and infection. None of these complications have occurred in the >250 patients treated by the author to date.…”
Section: Discussionmentioning
confidence: 99%
“…Retrograde embolic infarction was suggested as the mechanism underlying the combined CRAO and cerebral infarction after cosmetic facial injections [1,8,9] The materials injected into the facial peripheral branches of the ophthalmic artery during cosmetic procedures can migrate to more proximal sites of the arterial system by the force of the injection. When the substance reaches the ophthalmic artery, it can obstruct the ophthalmic or central retinal artery or cerebral arteries by anterograde embolism.…”
Section: Discussionmentioning
confidence: 99%