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Ophthalmoplegia with skin necrosis after a hyaluronic acid filler injection
Author(s) -
Kim BeomJun,
You HiJin,
Jung Ileok,
Kim DeokWoo
Publication year - 2020
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.13403
Subject(s) - hyaluronic acid , medicine , ptosis , hyaluronidase , necrosis , vascular occlusion , surgery , occlusion , filler (materials) , ophthalmology , pathology , anatomy , biochemistry , chemistry , materials science , composite material , enzyme
Hyaluronic acid filler injection is commonly used for aesthetic purposes. However, many clinicians neglect the possibility of developing vascular occlusion and its devastating sequelae. Besides visual loss after iatrogenic ophthalmic artery occlusion, ophthalmoplegia without blindness is rare but may occur. Here, we report a 23‐year‐old woman with ptosis, lateral deviation of the right eye, and skin necrosis after hyaluronic acid filler injection. After hyaluronidase injection and steroid pulse therapy, ptosis and eye movement were completely restored. Skin necrosis was treated with a human epithelial growth factor ointment, followed by Nd:YAG laser. Complete healing with minimal scar was achieved.