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PARACENTRAL ACUTE MIDDLE MACULOPATHY ASSOCIATED WITH RETINAL ARTERY OCCLUSION AFTER COSMETIC FILLER INJECTION.

Abstract

PURPOSE

To report a single case of paracentral acute middle maculopathy in association with retinal artery occlusion in the setting of ipsilateral facial cosmetic filler injection.

METHODS

Case report.

PATIENT

A 35-year-old woman presenting with sudden vision loss to finger count vision immediately after left nasal fat pad cosmetic filler injection.

RESULTS

Dilated funduscopic examination revealed a swollen optic disc with multiple branch arterial occlusions with visible embolic material. Fluorescein angiography confirmed multiple branch arterial occlusions in addition to a focal choroidal infarction in the macula. Spectral-domain optical coherence tomography revealed middle retinal hyperreflectivity in the superotemporal macula consistent with paracentral acute middle maculopathy. En face optical coherence tomography demonstrated a superotemporal area of whitening at the level of the deep capillary plexus corresponding to the paracentral acute middle maculopathy lesion seen on spectral-domain optical coherence tomography. On twelve-month follow-up, final visual acuity was 20/100 due to optic neuropathy.

CONCLUSION

Emboli from cosmetic facial filler injections may rarely result in ipsilateral arterial occlusions and now have a novel association with paracentral acute middle maculopathy likely due to deep capillary plexus feeder vessel occlusion.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.

    , ,

    Source

    Retinal cases & brief reports 11 Suppl 1: pg S216-S218

    MeSH

    Adult
    Cosmetic Techniques
    Eye
    Female
    Humans
    Macula Lutea
    Retinal Artery Occlusion
    Retinal Diseases

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    27763945

    Citation

    Sridhar, Jayanth, et al. "PARACENTRAL ACUTE MIDDLE MACULOPATHY ASSOCIATED WITH RETINAL ARTERY OCCLUSION AFTER COSMETIC FILLER INJECTION." Retinal Cases & Brief Reports, vol. 11 Suppl 1, 2017, pp. S216-S218.
    Sridhar J, Shahlaee A, Shieh WS, et al. PARACENTRAL ACUTE MIDDLE MACULOPATHY ASSOCIATED WITH RETINAL ARTERY OCCLUSION AFTER COSMETIC FILLER INJECTION. Retin Cases Brief Rep. 2017;11 Suppl 1:S216-S218.
    Sridhar, J., Shahlaee, A., Shieh, W. S., & Rahimy, E. (2017). PARACENTRAL ACUTE MIDDLE MACULOPATHY ASSOCIATED WITH RETINAL ARTERY OCCLUSION AFTER COSMETIC FILLER INJECTION. Retinal Cases & Brief Reports, 11 Suppl 1, pp. S216-S218. doi:10.1097/ICB.0000000000000466.
    Sridhar J, et al. PARACENTRAL ACUTE MIDDLE MACULOPATHY ASSOCIATED WITH RETINAL ARTERY OCCLUSION AFTER COSMETIC FILLER INJECTION. Retin Cases Brief Rep. 2017;11 Suppl 1:S216-S218. PubMed PMID: 27763945.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - PARACENTRAL ACUTE MIDDLE MACULOPATHY ASSOCIATED WITH RETINAL ARTERY OCCLUSION AFTER COSMETIC FILLER INJECTION. AU - Sridhar,Jayanth, AU - Shahlaee,Abtin, AU - Shieh,Wen-Shi, AU - Rahimy,Ehsan, PY - 2016/10/21/pubmed PY - 2017/6/27/medline PY - 2016/10/21/entrez SP - S216 EP - S218 JF - Retinal cases & brief reports JO - Retin Cases Brief Rep VL - 11 Suppl 1 N2 - PURPOSE: To report a single case of paracentral acute middle maculopathy in association with retinal artery occlusion in the setting of ipsilateral facial cosmetic filler injection. METHODS: Case report. PATIENT: A 35-year-old woman presenting with sudden vision loss to finger count vision immediately after left nasal fat pad cosmetic filler injection. RESULTS: Dilated funduscopic examination revealed a swollen optic disc with multiple branch arterial occlusions with visible embolic material. Fluorescein angiography confirmed multiple branch arterial occlusions in addition to a focal choroidal infarction in the macula. Spectral-domain optical coherence tomography revealed middle retinal hyperreflectivity in the superotemporal macula consistent with paracentral acute middle maculopathy. En face optical coherence tomography demonstrated a superotemporal area of whitening at the level of the deep capillary plexus corresponding to the paracentral acute middle maculopathy lesion seen on spectral-domain optical coherence tomography. On twelve-month follow-up, final visual acuity was 20/100 due to optic neuropathy. CONCLUSION: Emboli from cosmetic facial filler injections may rarely result in ipsilateral arterial occlusions and now have a novel association with paracentral acute middle maculopathy likely due to deep capillary plexus feeder vessel occlusion. SN - 1937-1578 UR - https://www.unboundmedicine.com/medline/citation/27763945/PARACENTRAL_ACUTE_MIDDLE_MACULOPATHY_ASSOCIATED_WITH_RETINAL_ARTERY_OCCLUSION_AFTER_COSMETIC_FILLER_INJECTION_ L2 - http://Insights.ovid.com/pubmed?pmid=27763945 DB - PRIME DP - Unbound Medicine ER -