Ocular ischemia with hypotony after injection of hyaluronic acid gel.
Abstract
The authors experienced a case with ocular ischemia with hypotony following injection of a dermal filler for augmentation rhinoplasty. Immediately after injection, the patient demonstrated a permanent visual loss with typical fundus features of central retinal artery occlusion. Multiple crusted ulcerative patches around the nose and left periorbit developed, and the left eye became severely inflamed, ophthalmoplegic, and hypotonic. Signs of anterior and posterior segment ischemia were observed including severe cornea edema, iris atrophy, and chorioretinal swelling. The retrograde arterial embolization of hyaluronic acid gel from vascular branches of nasal tip to central retinal artery and long posterior ciliary artery was highly suspicious. After 6 months of follow up, skin lesions and eyeball movement became normalized, but progressive exudative and tractional retinal detachment was causing phthisis bulbi.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 재료 | hyaluronic acid
|
히알루론산 | dict | 2 | |
| 시술 | rhinoplasty
|
코성형술 | dict | 1 | |
| 시술 | dermal filler
|
필러 주입술 | dict | 1 | |
| 해부 | nasal tip
|
코끝 | dict | 1 |
MeSH Terms
Adult; Blindness; Eye; Female; Gels; Humans; Hyaluronic Acid; Injections; Intraocular Pressure; Ischemia; Ocular Hypotension; Ocular Motility Disorders; Papilledema; Retinal Artery Occlusion; Rhinoplasty; Skin Aging; Skin Ulcer
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