Panophthalmoplegia and vision loss after cosmetic nasal dorsum injection
Panophthalmoplegia and vision loss after cosmetic nasal dorsum injection
复制标题
DOI：
10.1016/j.jocn.2013.05.018
复制
发表时间：
2014-04-01
影响因子：
2
通讯作者：
Park, Jae Hyeon
中科院分区：
文献类型：
--
作者：
Kim, Shi Nae;Byun, Dae Sup;Park, Jae Hyeon
We report a case of unilateral blindness and panophthalmoplegia after hyaluronic acid injection into the dorsum of the nose in a healthy young woman. Microspheres of hyaluronic acid are popular fillers for facial rejuvenation. While ocular side effects from injections in the nose and face have been reported following turbinate injection, rhinoplasty and infraorbital nerve block, ocular side effects from injection into the dorsum of the nose are extremely rare. We presume that the symptoms were due to obstruction of the branches of the ophthalmic artery. Under high injection pressure, the microspheres travelled to the ophthalmic artery and were propelled by the blood flow to the central retinal artery and the anterior and posterior long ciliary arteries, leading to her symptoms. Alternatively, there are several arterio-venous anastomotic channels in the nasal mucosa that aid heat exchange. These may have been the conduit for reflux of the filler into the arterial side of the regional circulation. Physicians must remain aware of serious complications during cosmetic injections to this region. (C) 2013 Elsevier Ltd. All rights reserved.
