Treatment and prevention of ophthalmic artery embolization caused by hyaluronic acid cosmetic injections
10.3760/cma.j.cn114453-20210701-00280
- VernacularTitle:透明质酸注射填充导致眼动脉栓塞的治疗及预防
- Author:
Lei ZHANG
1
;
Yuejun ZHAO
;
Weitian HUA
;
Xingfeng HUANG
;
Hangyan SHI
;
Yu JI
;
Sufan WU
Author Information
1. 浙江省人民医院 杭州医学院附属人民医院整形外科，杭州 310014
- Keywords:
Ophthalmic artery;
Hyaluronic acid;
Facial filler;
Blindness;
Visual field defect
- From:
Chinese Journal of Plastic Surgery
2023;39(6):673-677
- CountryChina
- Language:Chinese
-
Abstract:
Hyaluronic acid (HA) injections have already been one of most popular cosmetic procedures for around 18 years. However, blindness is one of the most serious complications caused by HA injections. There is still no consensus on the treatment for vision recovery. The efficacy and safety of different delivery administration of hyaluronidase such as retrobulbar injection and endovascular intervention are still controversial so far. Based on current status, prevention is prior to treatment, which is widely recognized in the world. The pathogenic mechanism of blindness induced by filler injection is still not clear, and there exist several theories including the artery embolism, ischaemia, artery spasm and venous involvement, which are all related to the ophthalmic artery and its branches. Therefore, acquiring anatomic knowledge and the relevant parameters will help us prevent to damage the ophthalmic artery and its branches during HA injections. The mechanism, treatment progress and prognosis of blindness caused by HA injections in recent years were analyzed and summarized in this article. We hope it will help the clinician to improve the relevant knowledge about vision loss caused by HA injection, as well as to promote the safety of filler injection.
