Ocular and cerebral infarction from periocular filler injection.
Abstract
A 20-year-old woman presented with loss of vision in her right eye and a "black nose" after receiving hyaluronic acid filler injections in her right glabella 1 month prior. Her vision was no light perception, and external examination revealed resolving skin necrosis at the nasal tip. A dilated fundus exam showed a fibrotic membrane emanating from a pale optic nerve and a diffusely atrophic retina with sclerotic vessels. An MRI demonstrated scattered right-sided parietal lobe infarcts. These findings were consistent with inadvertent cannulation of the supraorbital artery, followed by injection of filler into the internal carotid circulation. The product traveled in a retrograde fashion, occluding the right ophthalmic artery, right dorsal nasal artery, and arterial segments to the Circle of Willis. This case highlights the importance of understanding the complex vascular architecture of the periorbita and the mechanism by which such occlusions occur.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | filler
|
필러 주입술 | dict | 2 | |
| 시술 | hyaluronic acid filler
|
필러 주입술 | dict | 1 | |
| 해부 | nasal tip
|
코끝 | dict | 1 | |
| 합병증 | skin necrosis
|
괴사 | dict | 1 | |
| 재료 | hyaluronic acid
|
히알루론산 | dict | 1 |
MeSH Terms
Acute Disease; Arterial Occlusive Diseases; Blindness; Dermal Fillers; Female; Fluorescein Angiography; Humans; Hyaluronic Acid; Infarction, Anterior Cerebral Artery; Injections, Intradermal; Magnetic Resonance Imaging; Ophthalmic Artery; Retinal Artery Occlusion; Skin Aging; Tomography, Optical Coherence; Viscosupplements; Young Adult
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
관련 논문
- Penetrating globe injury following periocular hyaluronic acid filler injection: A case report.
- Choroidal ischemia after self-injection of hyaluronic acid filler.
- Intra-articular therapies for synovial joint dysfunction: a comprehensive integrative review.
- Clinical safety of a low-modification hyaluronic acid filler (MoD 2%) for facial rejuvenation.
- Aesthetically ideal noses created using a single artificial intelligence model: Validating literature and exploring ethnic differences.