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Multifocal Retinal and Ciliary Artery Occlusion with Submacular Hemorrhage Following Cosmetic Facial Filler Injection

Other Titles
 미용 안면 필러 주사 시술 후 발생한 망막하출혈을 동반한 다발성 망막동맥폐쇄의 증례 보고 
Authors
 Chul Hee Lee  ;  Hansang Lee  ;  Seung Min Lee  ;  Min Kim 
Citation
 Journal of Retina, Vol.7(1) : 54-58, 2022-05 
Journal Title
Journal of Retina
ISSN
 2508-1926 
Issue Date
2022-05
Keywords
Cosmetic filler injection ; Retinal artery occlusion ; Subhyaloid hemorrhage ; Submacular hemorrhage ; Subretinal hemorrhage
Abstract
Purpose: Retinal artery occlusion and ciliary artery occlusion (CAO) may occur as complications after cosmetic filler injections. However, submacular and subhyaloid hemorrhage have not been reported after cosmetic filler injection. Herein, we report the first case of subretinal hemorrhage after iatrogenic multifocal retinal and CAO following facial filler injection.
Case summary: A 44-year-old woman with no relevant medical history presented with a sudden upper visual field defect of the right eye immediately after receiving hyaluronic acid cosmetic facial filler injection in the glabellar region. The patient was diagnosed with multiple branch retinal and posterior CAO of the right eye. On the fourth day of follow-up, submacular and subhyaloid hemorrhage was observed. Intravitreal injection of 1.25 mg bevacizumab and 0.2 mL pure C3F8 (octafluoropropane) gas was performed. At the 2-month follow-up, subretinal and subhyaloid hemorrhage at the macula had resolved. Without further treatment, the retina was stable with no further recurrence through the 1-year follow-up.
Conclusions: Submacular and subhyaloid hemorrhage following branch retinal and posterior CAO immediately after cosmetic facial filler injection is a rare, but serious complication. Although the pathogenic mechanism for subretinal hemorrhage remains unclear, bevacizumab injection combined with 0.2 mL pure C3F8 gas injection may be a possible treatment option when faced with such complications.
Files in This Item:
T202204495.pdf Download
DOI
10.21561/jor.2022.7.1.54
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
Lee, Seung Min(이승민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/191395
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