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Ocular ischemia with hypotony after injection of hyaluronic acid gel

Authors
 Kim, Young Jun ; Kim, Sung Soo ; Yoon, Jin Sook ; Lee, Sang Yeul ; Song, Won Kyung 
Citation
 Ophthalmic Plastic and Reconstructive Surgery, Vol.27(6) : e152~e155, 2011 
Journal Title
 Ophthalmic Plastic and Reconstructive Surgery 
ISSN
 0740-9303 
Issue Date
2011
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.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94695
DOI
10.1097/IOP.0b013e3182082f37
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Ophthalmology
Yonsei Authors
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Link
 http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00002341-201111000-00037&LSLINK=80&D=ovft
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