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Ophthalmic complications of injectable facial fillers

World Journal of Clinical Cases 2024年第34期12卷 6736-6739页

作者： Prateek Nishant Arvind Kumar Morya Sony Sinha Ranjeet Kumar Sinha Department of Ophthalmology ESIC Medical CollegePatna 801103BiharIndia Department of Ophthalmology All India Institute of Medical SciencesHyderabad 508126TelanganaIndia Department of Ophthalmology-Vitreo-Retina Neuro-Ophthalmology and OculoplastyAll India Institute of Medical SciencesPatna 801507BiharIndia Department of Community Medicine Patna Medical CollegePatna 800004BiharIndia

The recently published mini-review article by Miotti et al is an effort to clarify various aspects regarding the choice between fat grafts and fillers in facial aesthetic *** of the complications associated with the administration of fillers is the possibility of vascular injury and spread of the dermal filler into the orbit,causing unexpected effects at a site distant from that of the initial injection,including ophthalmoplegia,ptosis and even visual *** vision loss following filler injection is a devastating complication,occurring in up to 0.0008%of *** greatest risk of this complication occurs with nasal augmentation,followed by glabellar wrinkle *** injected autologous fat predominantly occludes the proximal portion of the ophthalmic artery,hyaluronic acid fillers obstruct the ophthalmic artery comparatively *** interventions include thrombolysis,hyperbaric oxygen therapy,oral aspirin,cobamamide and acetazolamide and administration of ***,most studies show a poor prognosis in the form of partial or no recovery of ***,prevention is of paramount importance.A high index of suspicion is also warranted on the part of both those administering as well as receiving injections of facial fillers to prevent potentially vision-threatening complications of this seemingly innocuous procedure.

关键词： Adverse effects Blindness Cosmetic techniques dermal drug administration Hyaluronic acid Iatrogenic disease

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