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Retinal branch artery occlusion following injection of hyaluronic acid (Restylane)
Author(s) -
Peter Silvia,
Mennel Stefan
Publication year - 2006
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2006.01224.x
Subject(s) - medicine , retinal artery occlusion , hyaluronic acid , embolus , ophthalmic artery , occlusion , branch retinal artery occlusion , central retinal artery , retinal , central retinal artery occlusion , retinal artery , surgery , ophthalmology , blood flow , anatomy , fluorescein angiography , radiology
A bstract The authors report a retinal branch artery occlusion occurring after facial injection of a dermal filler. The superior temporal artery showed occlusion due to a clearly visible long and fragmented embolus suggestive of gel and clearly distinguishable from calcific or cholesterol emboli. The authors suppose that hyaluronic acid gel was embolized in the patient. The embolized material is supposed to enter the ocular circulation through retrograde arteriolar flow after intra‐arterial injection into one of the peripheral branches of the ophthalmic artery. If there is any evidence of a visual problem after facial injection of a dermal filler, prompt consultation of an ophthalmologist is recommended.