Posterior Ciliary Artery Occlusion Caused by Hyaluronic Acid Injections Into the Forehead

Hu, Xiu Zhuo; Hu, Jun; Wu, Peng; Yu, Sheng Bo; Kikkawa, Don O.; Lü, Wei

doi:10.1097/md.0000000000003124

Cited by 54 publications

(43 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hu et al [21] described a case of blindness due to the involvement of the posterior ciliary arteries following filling with hyaluronic acid of the forehead.…”

Section: Discussionmentioning

confidence: 99%

Influence of the Topographic Vascular Distribution of the Face on Dermal Filler Accidents

et al. 2019

View full text Add to dashboard Cite

Objective: Dermal fillers are an important tool in the field of aesthetic dermatology. Fillers are relatively noninvasive and easy to use but are not free of secondary complications. The main complications are vascular and are due to either the compression of an artery or the direct introduction of the product into the arterial lumen. The aim of this study is to provide an overview of the vascular territories of the face to avoid many possible complications when using facial fillings. Anatomical localization of the main arterial supply to the face has been described to assess the risk of vascular injury. Methods: The authors dissected 17 hemifaces of embalmed adult cadavers that had previously been injected, through the common carotid artery, with latex containing a red dye. Results: A topographic distribution was generated by facial regions following a clinical approach from where the facial fillings were placed and related to the pathways of the arteries. Following these criteria, we established 8 topographic regions (I–VIII) that indicate the main vascular problems of each of these regions. Detailed anatomical localizations of the main arteries in these topographic regions of the face and their relationships are described. Conclusions: The highest index of vascular lesions and especially visual alterations occurred for fillings of the upper third of the face. To prevent and avoid this type of lesion, it is advisable to avoid, as much as possible, treatments with filling materials in the upper third of the face, mainly including the glabellar and nasal region (III) and supraorbital region (VIII).

show abstract

“…Hu et al [21] described a case of blindness due to the involvement of the posterior ciliary arteries following filling with hyaluronic acid of the forehead.…”

Section: Discussionmentioning

confidence: 99%

Influence of the Topographic Vascular Distribution of the Face on Dermal Filler Accidents

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In addition, several of the proposed techniques to potentially achieve dissolution of retinal emboli require specialized skills beyond the general training of practitioners performing injectable fillers. Cannulating peripheral branches of the ophthalmic artery for the infusion of hyaluronidase has been proposed (Hu et al, 2016;Oh, Jung, Park, Hong, & Woo, 2014). Alternatively, Carruthers et al has theorized retrobulbar hyaluronidase injection could be used to dissolve ophthalmic artery emboli of hyaluronic acid fillers (Carruthers, Fagien, & Doman, 2015).…”

Section: Anterior Chamber Aqueous Paracentesis (Fluid Aspiration) Per-mentioning

confidence: 99%

Prevention and management of iatrogenic blindness associated with aesthetical filler injections

Lacerda¹

2018

Dermatologic Therapy

View full text Add to dashboard Cite

Injectable fillers have become one of the most performed aesthetical treatments worldwide over the past two decades. They are frequently applied to the face, offering effective and safe alternatives to more invasive surgical procedures. Nevertheless, there are serious risks associated with filler‐based treatment. Visual impairment stands as a rare yet catastrophic adverse event associated with intravascular embolization of injected material to the retina or other areas of the central nervous system; potentially leading to permanent visual loss. This article presents a comprehensive revision of blindness secondary to aesthetical filler injections, offering up‐to‐date strategies for prevention and management.

show abstract

“…Следует отметить, что артериальная окклюзия проявляется немедленно признаками нарушения кровообращения и болевыми ощущениями, в то время как венозная окклюзия может возникнуть позже. Единственное доказанное устранение ишемии мягких тканей при использовании в качестве наполнителя гиалуроновой кислоты -это использование ранней высокодозной гиалуронидазы, так как применение этого препарата помогает дезактивировать действие гиалуроновой кислоты [63,64].…”

Section: дермальные филлеры в периорбитальной зонеunclassified

Effect of Cosmetic Procedures in the Periorbital Area on the Organ of Vision: Overview

et al. 2018

View full text Add to dashboard Cite

Practitioners in ophthalmology in recent years often face the effects of cosmetic procedures on the paraorbital area, as well as directly on the eyelids. Such influences include botox injections in paraorbital area, blepharoplasty, eyelash extensions, injections of various fillers, etc. These manipulations are widely used and often lead to various complications of the vision organ. Eyelash extensions are a popular procedure, especially among urban, young women, but there are potential health risks from the procedure. Tattooing of eyelids leads is the cause of dysfunction of meibomian glands, which can lead to the dry eye syndrome, manifested as complaints about a feeling of chronic discomfort in the eyes. Due to the growing popularity of the age tattoo, it is necessary to pay close attention to the training of specialists who conduct this procedure. The procedure for permanent eyelid make-up should be performed after careful consideration of possible complications, and by special trained professionals. In recent years, various cosmetic procedures for rejuvenating the face plays great role, for example, injections of botulinum toxin, as well as various dermal fillers — the application of which is aimed at eliminating the aging signs. The qualification of the specialist his awareness of the occurrence of possible complications, as well as the awareness of patients who undergo this procedure is an important aspect in the application of botulinum toxin, both for therapeutic and cosmetic purposes. Of great interest are the complications associated with ischemia in the form of soft tissue necrosis and vascular occlusion caused by fillers introduction. It is reported that the frequency of vascular occlusion with dermal fillers is up to 3 per 1000 injections. The only proven elimination of soft tissue ischemia in case of a hyaluronic acid filler use is early high-dose hyaluronidase injections, since this drug helps deactivate the action of hyaluronic acid. Modern ophthalmologic practice is inextricably linked with the latest methods of modern cosmetology medicine, the results of it can effect on the functions of the whole organism as the organ of vision in particular. This fact and the specificity of possible complications arising from cosmetic procedures in the periorbital zone should be taken into account during the anamnesis collecting anamnesis, and examining patients, including preoperative preparation, and in choosing the treatment method.

show abstract

Posterior Ciliary Artery Occlusion Caused by Hyaluronic Acid Injections Into the Forehead

Cited by 54 publications

References 3 publications

Influence of the Topographic Vascular Distribution of the Face on Dermal Filler Accidents

Influence of the Topographic Vascular Distribution of the Face on Dermal Filler Accidents

Prevention and management of iatrogenic blindness associated with aesthetical filler injections

Effect of Cosmetic Procedures in the Periorbital Area on the Organ of Vision: Overview

Contact Info

Product

Resources

About