Multiple Cerebral Infarctions with Neurological Symptoms and Ophthalmic Artery Occlusion after Filler Injection.
10.3341/jkos.2015.56.2.285
- Author:
Won Sup LEE
1
;
Won Tae YOON
;
Youn Joo CHOI
;
Sung Pyo PARK
Author Information
1. Department of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. sungpyo@hanafos.com
- Publication Type:Case Report
- Keywords:
Central retinal artery occlusion;
Cerebral infraction;
Filler complication;
Hemorrhagic transformation;
Ophthalmic artery occlusion
- MeSH:
Aphasia;
Blepharoptosis;
Brain;
Cerebral Infarction*;
Dysarthria;
Facial Paralysis;
Female;
Fluorescein Angiography;
Follow-Up Studies;
Hand;
Humans;
Hyaluronic Acid;
Infarction;
Intraocular Pressure;
Magnetic Resonance Imaging;
Middle Aged;
Muscles;
Occipital Lobe;
Ophthalmic Artery*;
Ophthalmoplegia;
Paralysis;
Rabeprazole;
Reflex;
Retina;
Retinal Artery Occlusion;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2015;56(2):285-290
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of visual loss, side weakness and facial palsy due to ophthalmic artery occlusion with diffuse multiple cerebral infarctions after injection of hyaluronic acid. CASE SUMMARY: A 50-year-old female visited our clinic for visual loss in the left eye after filler injection in the glabella. Her best corrected visual acuity was 1.0 in the right eye and hand motion in the left eye. The intraocular pressure was 8 mm Hg in the right eye and 14 mm Hg in the left eye. In the left eye, there was abnormal pupillary light reflex and complete extra-ocular muscles palsy with blepharoptosis. A pale retina with a cherry-red-spot also appeared in the left fundus. A central retinal artery occlusion was observed on fluorescein angiography and brain magnetic resonance imaging showed multiple cerebral infarctions at the frontal, temporal, parietal and occipital lobes. Four days later, the motor weakness was aggravated and dysarthria and aphasia became worse. According to symptoms, a hemorrhagic transformation in subacute infarctions developed based on brain computed tomography. After 3 months of follow up, the visual acuity in the left eye was no light perception. However, the general conditions including ophthalmoplegia and motor weakness were improved.
