Visual loss following cosmetic facial filler injection

Shoughy, Samir S.

doi:10.5935/0004-2749.20190092

Cited by 9 publications

(8 citation statements)

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“…With regard to injection sites and materials, our results are consistent with the past literature. The most common injection site resulting in visual impairment was the forehead, followed by the nasal region and the glabella, which is the same finding as that in a previous report [1,5,[9][10][11]. The most common filler material was HA and, second, autologous fat.…”

Section: Discussionsupporting

confidence: 84%

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A new injury severity scale for ocular complications following cosmetic filler injection

Si¹,

Lai²,

Ding³

et al. 2022

Front. Biosci. (Landmark Ed)

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Background: Cosmetic filler injection can cause a variety of eye complications; however, there is currently no good way to evaluate injury severity and prognosis. By analyzing the injury manifestations of severe ocular complications following cosmetic filler injection and their prognosis, we propose a new injury severity scale. Methods: Twenty-two eyes of 22 patients experiencing ocular complications following cosmetic filler injection were followed for 6 months to observe injury characteristics, manifestations and prognosis. Best corrected visual acuity (BCVA), intraocular pressure (IOP), split lamp microscopy, fundus photography, optical coherence tomography (OCT), and fundus fluorescein angiography were examined at the onset and follow-up visits. Results: According to the immediate BCVA at the time of injury (with the presence or absence of brain infarction), a new injury severity scale was proposed, namely, Grades 1-4. Grade 1 (4 patients) and Grade 2 (2 patients) tended to have no atrophy of the globe. Grade 3 (12 patients) and Grade 4 (4 patients) were more likely to develop atrophy of the globe (4/12 patients and 2/4 patients, respectively) at the last follow-up. Grade 3 and Grade 4 were more likely to be complicated with ophthalmoplegia and ptosis (7/16 patients). Conclusions: The new injury severity scale we proposed can determine the prognosis of different ocular complications following cosmetic filler injection. Accordingly, we can inform injured patients regarding the possibility of phthisis bulbi and the extent of improvement of visual impairment, ophthalmoplegia, ptosis and stroke.

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Section: Discussionsupporting

confidence: 84%

“…Sites that are at high risk for complications include the glabella, nasal region and forehead [9][10][11]. Patients experiencing severe ocular complications following cosmetic filler injection can be classified into four types according to their periocular manifestations, including ptosis, ophthalmoplegia, and enophthalmos [12].…”

Section: Introductionmentioning

confidence: 99%

A new injury severity scale for ocular complications following cosmetic filler injection

Si¹,

Lai²,

Ding³

et al. 2022

Front. Biosci. (Landmark Ed)

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“…The current study found that cosmetic procedures ended up with post-procedure adverse events in 19%, and non-satisfactions in 18% of patients. We could not compare such finding with local data, as there is almost lack of data about adverse events associated with cosmetic procedures in Saudi Arabia (21). Internationally, the rate of adverse events ranged between <1% in minimally invasive cosmetic procedures(13) (as in the majority of procedures studied in the current study) and 84% in traditional plastic surgeries (14).…”

Section: Resultsmentioning

confidence: 71%

Prevalence and Quality of Informed Consent for Patients Undergoing Cosmetic Procedures: A Cross Sectional Study

et al. 2021

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Background: Failure of the physician to disclose potential risks and benefits associated with cosmetic procedures is one of the main causes of legal disputes over informed consent. The objective was to assess the prevalence and quality of the informed consent given by patients who undergone cosmetic procedures and its association with post-procedure adverse events. Methods: It was a crosssectional, online, questionnaire-based study conducted during September and October 2020. Eligible adult male and female patients who were attending a governmental dermatology clinic at Al-Kharj city (Saudi Arabia) were invited to join the study. Results: A total of 246 patients were included in the study. Out of 246, 111 (45.1%) patients performed at least one cosmetic procedure before, and 89 (80.2%) of them signed an informed consent. 62 (69.7%) of them signed a consent before the procedure, 17 (19.1%) reported post-procedure adverse events, 16 (18.0%) reported dissatisfactions, and 27 (30.3%) reported either. None of the consent characteristics were significantly associated with higher prevalence of post-procedure adverse events or non-satisfactions. Conclusions: The prevalence and the quality of informed consent before cosmetic procedures are inadequate. Urgent corrections are required to protect the patient's rights and to legally protect the treating physician.

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“…A oclusão de vasos distais pode promover o escurecimento cutâneo, formação de ulcerações e escaras (Trindade de Almeida & Araújo Sampaio, 2015). A embolização iatrogênica da artéria oftálmica, pela administração de ácido hialurônico, ocasionando cegueira é uma complicação rara, e o reconhecimento precoce e tratamento desse tipo de complicação pode ser crucial para o desfecho do caso (Chatrath, et al, 2019;Shoughy, 2019). Além disso, a oclusão acidental de artérias acontece mais em consequência dos tratamentos realizados no nariz, podendo ser ocasionada ainda por procedimentos realizados na glabela (Kim, et al, 2015;Sito, et al, 2019).…”

Section: Introductionunclassified

Harmonização orofacial: análise do conhecimento dos Cirurgiões-Dentistas sobre os riscos clínicos e aspectos legais e éticos na prática da rinomodelação e bichectomia

Rodrigues

Souza

Goulart

et al. 2021

RSD

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A harmonização orofacial consiste em tornar os terços da face de um paciente mais aceitáveis esteticamente por meio de procedimentos como: preenchimento facial com biomateriais, aplicação da toxina botulínica, bichectomia, lipoaspiração cervical e rinomodelação. O objetivo desse estudo é avaliar a percepção dos Cirurgiões-dentistas a respeito da capacidade técnica para executar procedimentos de rinomodelação e bichectomia quanto ao respaldo legal para sua execução. Após aprovada em comitê de ética a presente pesquisa, foi aplicado, aos profissionais que se dispuseram a participar, um questionário estruturado autoaplicável com 15 questões que versam sobre o perfil do participante, tópicos de harmonização orofacial e os assuntos específicos sobre bichectomia e rinomodelação. Dos 180 questionários respondidos, 105 (58,3%) eram de profissionais do gênero feminino, 41 (22,9%) afirmaram realizar procedimentos de harmonização orofacial em sua rotina clínica. Questionados ainda sobre estarem aptos a tratar uma necrose nasal já instalada, 19 (11,0%) participantes declararam estar aptos a proceder com esse tipo de tratamento, enquanto 110 (72,8%) deles informaram que encaminhariam esse caso para um Médico. Foi possível perceber que, de forma geral, os profissionais não tem conhecimento das normativas que os respaldam quanto à execução de novos procedimentos incluídos ao rol dos que a Odontologia já pratica, além disso, mesmo os profissionais que frequentaram cursos de capacitação em Harmonização Orofacial, grande parte não se sente confiante para realizar procedimentos como rinomodelação e tratar suas complicações.

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Visual loss following cosmetic facial filler injection

Cited by 9 publications

References 0 publications

A new injury severity scale for ocular complications following cosmetic filler injection

A new injury severity scale for ocular complications following cosmetic filler injection

Prevalence and Quality of Informed Consent for Patients Undergoing Cosmetic Procedures: A Cross Sectional Study

Harmonização orofacial: análise do conhecimento dos Cirurgiões-Dentistas sobre os riscos clínicos e aspectos legais e éticos na prática da rinomodelação e bichectomia

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