Ocular ischemia syndrome after aesthetic treatment with hyaluronic acid.

Autor: Gracia Rovira E; Servicio de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain. Electronic address: elenagracia09oft@gmail.com., Natividad Andreu S; Servicio de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain., Montalt Barrachina N; Servicio de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain., Navarro Hernández E; Servicio de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain., Agustí Martínez J; Servicio de Anatomía Patológica, Hospital Clínico Universitario de Valencia, Valencia, Spain., Lanuza García A; Servicio de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Jazyk: angličtina
Zdroj: Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol (Engl Ed)] 2024 Nov; Vol. 99 (11), pp. 504-507. Date of Electronic Publication: 2024 Jul 20.
DOI: 10.1016/j.oftale.2024.07.010
Abstrakt: A 49-year-old female with no pre-morbidities comes in with sudden, painless loss of vision in the left eye (OS) after a facial hyaluronic acid (HA) injection for aesthetic purposes one hour ago. Visual acuity was no light perception (NLP). OS examination revealed a mid-non-reactive mydriasis and complete ophthalmoplegia. Fundus examination of the OS suggested central retinal artery occlusion (CRAO). Systemic evaluation was normal. Given this diagnosis, ocular massage, anterior chamber paracentesis, anticoagulation, systemic antibiotherapy, and subcutaneous hyaluronidase around the injection sites and peribulbar region were performed. Despite these interventions, the patient did not regain vision, exhibiting signs of anterior and posterior ocular ischemia. Subsequently, she developed phthisis bulbi, necessitating evisceration. The management of this complication should be prompt, if possible, to mitigate its dire consequences.
(Copyright © 2024 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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