Korean J Dermatol.  2007 Apr;45(4):381-383.

A Case of Sudden Unilateral Visual Loss Following Injection of Filler into the Glabella

• Kang YS
• Kim JW
• Choi WS
• Park HS
• Jang SJ
• Chio JC

Abstract

Dermal fillers have been used with increasing frequency over the past three decades in the management of facial lines and atrophic scars and in the correction of facial contours. Injectable soft tissue fillers are ideal for office procedures because of their associated ease, cost, and minimal discomfort. Although complications are rare, they can occur with any dermal filler. However, although most complications are mild and transient, severe, persistent, or recurrent adverse effects can occur. Serious complications include complete or partial visual loss caused by occlusion of a retinal artery. We report a case of a 65-year-old female who experienced sudden visual loss and local necrosis of the glabellar area, secondary to retinal branch artery occlusion, following injection of a filler. Prompt consultation with an ophthalmologist is recommended when there is evidence of visual problem arising after facial injection with dermal fillers.

Keyword

Amaurosis; Complications; Dermal filler; Retinal artery occlusion; Visual loss

MeSH Terms

Aged
Arteries
Blindness
Cicatrix
Female
Humans
Necrosis
Retinal Artery
Retinal Artery Occlusion
Retinaldehyde
Retinaldehyde