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[A case of ophthalmic artery occlusion following injection of hyaluronic acid into the glabellar area].
Nippon Ganka Gakkai Zasshi 2014; 118(9):783-7NG

Abstract

PURPOSE

We report a case of unilateral blindness due to ophthalmic artery occlusion following injection of hyaluronic acid into the glabellar area for facial soft-tissue augmentation.

CASE

A 20-year old woman underwent injection of hyaluronic acid into the glabellar area at an aesthetic plastic clinic. Immediately after injection, she suffered nausea, pain, paralysis of limbs and visual loss in her right eye. Hyaluronidase was instanly injected into the same place, but these symptoms did not improve. She was transferred to our hospital's emergency department. At the first examination, she had no light perception in the right eye and her right pupil was dilated. The fundus examination revealed right central artery occlusion. No significant findings were detected in her head. Eye ball massage, hyperbaric oxygen therapy, and drip infusion of urokinase were conducted, but no improvement resulted. Fluorescein and indocyanine green angiography showed no filling of the right retinal and choroidal arteries. Electroretinogram was completely disappeared. Magnetic resonance angiography could not reveal the obstruction point of the ophthalmic artery.

CONCLUSION

Ophthalmic artery occlusion was believed to have occured after injection of hyaluronic acid into the glabellar area.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

25318187

Citation

Nonomura, Sakiko, et al. "[A Case of Ophthalmic Artery Occlusion Following Injection of Hyaluronic Acid Into the Glabellar Area]." Nippon Ganka Gakkai Zasshi, vol. 118, no. 9, 2014, pp. 783-7.
Nonomura S, Oshitari T, Miura G, et al. [A case of ophthalmic artery occlusion following injection of hyaluronic acid into the glabellar area]. Nippon Ganka Gakkai Zasshi. 2014;118(9):783-7.
Nonomura, S., Oshitari, T., Miura, G., Chiba, A., & Yamamoto, S. (2014). [A case of ophthalmic artery occlusion following injection of hyaluronic acid into the glabellar area]. Nippon Ganka Gakkai Zasshi, 118(9), pp. 783-7.
Nonomura S, et al. [A Case of Ophthalmic Artery Occlusion Following Injection of Hyaluronic Acid Into the Glabellar Area]. Nippon Ganka Gakkai Zasshi. 2014;118(9):783-7. PubMed PMID: 25318187.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of ophthalmic artery occlusion following injection of hyaluronic acid into the glabellar area]. AU - Nonomura,Sakiko, AU - Oshitari,Toshiyuki, AU - Miura,Gen, AU - Chiba,Akihiro, AU - Yamamoto,Shuichi, PY - 2014/10/17/entrez PY - 2014/10/17/pubmed PY - 2014/11/11/medline SP - 783 EP - 7 JF - Nippon Ganka Gakkai zasshi JO - Nippon Ganka Gakkai Zasshi VL - 118 IS - 9 N2 - PURPOSE: We report a case of unilateral blindness due to ophthalmic artery occlusion following injection of hyaluronic acid into the glabellar area for facial soft-tissue augmentation. CASE: A 20-year old woman underwent injection of hyaluronic acid into the glabellar area at an aesthetic plastic clinic. Immediately after injection, she suffered nausea, pain, paralysis of limbs and visual loss in her right eye. Hyaluronidase was instanly injected into the same place, but these symptoms did not improve. She was transferred to our hospital's emergency department. At the first examination, she had no light perception in the right eye and her right pupil was dilated. The fundus examination revealed right central artery occlusion. No significant findings were detected in her head. Eye ball massage, hyperbaric oxygen therapy, and drip infusion of urokinase were conducted, but no improvement resulted. Fluorescein and indocyanine green angiography showed no filling of the right retinal and choroidal arteries. Electroretinogram was completely disappeared. Magnetic resonance angiography could not reveal the obstruction point of the ophthalmic artery. CONCLUSION: Ophthalmic artery occlusion was believed to have occured after injection of hyaluronic acid into the glabellar area. SN - 0029-0203 UR - https://www.unboundmedicine.com/medline/citation/25318187/[A_case_of_ophthalmic_artery_occlusion_following_injection_of_hyaluronic_acid_into_the_glabellar_area]_ L2 - http://www.medicalonline.jp/meteo_linkout.php?issn=0029-0203&volume=118&issue=9&spage=783 DB - PRIME DP - Unbound Medicine ER -