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Ocular and cerebral infarction from periocular filler injection
A 20-year-old woman presented with loss of vision in her right eye and a "black nose" after receiving hyaluronic acid filler injections in her right glabella 1 month prior. Her vision was no light perception, and external examination revealed resolving skin necrosis at the nasal tip. A dil...
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| Published in: | Orbit (Amsterdam) 2019-08, Vol.38 (4), p.322-324 |
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| Main Authors: | , , , , |
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| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c309t-5a1b9f935c37eba85be2c5ce4d381f71dd8bf0c35caef5836040987b906f20c73 |
| container_end_page | 324 |
| container_issue | 4 |
| container_start_page | 322 |
| container_title | Orbit (Amsterdam) |
| container_volume | 38 |
| creator | Ansari, Zubair A Choi, Catherine J Rong, Andrew J Erickson, Benjamin P Tse, David T |
| description | A 20-year-old woman presented with loss of vision in her right eye and a "black nose" after receiving hyaluronic acid filler injections in her right glabella 1 month prior. Her vision was no light perception, and external examination revealed resolving skin necrosis at the nasal tip. A dilated fundus exam showed a fibrotic membrane emanating from a pale optic nerve and a diffusely atrophic retina with sclerotic vessels. An MRI demonstrated scattered right-sided parietal lobe infarcts. These findings were consistent with inadvertent cannulation of the supraorbital artery, followed by injection of filler into the internal carotid circulation. The product traveled in a retrograde fashion, occluding the right ophthalmic artery, right dorsal nasal artery, and arterial segments to the Circle of Willis. This case highlights the importance of understanding the complex vascular architecture of the periorbita and the mechanism by which such occlusions occur. |
| doi_str_mv | 10.1080/01676830.2018.1537287 |
| format | article |
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Her vision was no light perception, and external examination revealed resolving skin necrosis at the nasal tip. A dilated fundus exam showed a fibrotic membrane emanating from a pale optic nerve and a diffusely atrophic retina with sclerotic vessels. An MRI demonstrated scattered right-sided parietal lobe infarcts. These findings were consistent with inadvertent cannulation of the supraorbital artery, followed by injection of filler into the internal carotid circulation. The product traveled in a retrograde fashion, occluding the right ophthalmic artery, right dorsal nasal artery, and arterial segments to the Circle of Willis. This case highlights the importance of understanding the complex vascular architecture of the periorbita and the mechanism by which such occlusions occur.</description><subject>Acute Disease</subject><subject>Arterial Occlusive Diseases - chemically induced</subject><subject>Arterial Occlusive Diseases - diagnostic imaging</subject><subject>Blindness - chemically induced</subject><subject>Dermal Fillers - adverse effects</subject><subject>Female</subject><subject>Fluorescein Angiography</subject><subject>Humans</subject><subject>Hyaluronic Acid - adverse effects</subject><subject>Infarction, Anterior Cerebral Artery - chemically induced</subject><subject>Infarction, Anterior Cerebral Artery - diagnostic imaging</subject><subject>Injections, Intradermal</subject><subject>Magnetic Resonance Imaging</subject><subject>Ophthalmic Artery - drug effects</subject><subject>Ophthalmic Artery - pathology</subject><subject>Retinal Artery Occlusion - chemically induced</subject><subject>Retinal Artery Occlusion - diagnostic imaging</subject><subject>Skin Aging - drug effects</subject><subject>Tomography, Optical Coherence</subject><subject>Viscosupplements - adverse effects</subject><subject>Young Adult</subject><issn>0167-6830</issn><issn>1744-5108</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNo90D1PwzAQgGELgWgp_ARQRpaUsx3HzoRQVT6kSl1gtmznLKVykmI3A_-ehLZMHu65s_QSck9hSUHBE9BSlorDkgFVSyq4ZEpekDmVRZGLkVyS-WTyCc3ITUo7AOCqgGsy48BlyVU5J89bNwQTM9PVmcOINpqQNZ030R2avst87Ntsj7Hpj843IWAcxQ7_wC258iYkvDu9C_L1uv5cveeb7dvH6mWTOw7VIReG2spXXDgu0RolLDInHBY1V9RLWtfKenDj3KAXipdQQKWkraD0DJzkC_J4vLuP_feA6aDbJjkMwXTYD0kzymQpKlZNVBypi31KEb3ex6Y18UdT0FM7fW6np3b61G7cezh9MdgW6_-tcyz-C96Nab4</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Ansari, Zubair A</creator><creator>Choi, Catherine J</creator><creator>Rong, Andrew J</creator><creator>Erickson, Benjamin P</creator><creator>Tse, David T</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2593-8375</orcidid><orcidid>https://orcid.org/0000-0002-2178-468X</orcidid></search><sort><creationdate>201908</creationdate><title>Ocular and cerebral infarction from periocular filler injection</title><author>Ansari, Zubair A ; Choi, Catherine J ; Rong, Andrew J ; Erickson, Benjamin P ; Tse, David T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-5a1b9f935c37eba85be2c5ce4d381f71dd8bf0c35caef5836040987b906f20c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acute Disease</topic><topic>Arterial Occlusive Diseases - chemically induced</topic><topic>Arterial Occlusive Diseases - diagnostic imaging</topic><topic>Blindness - chemically induced</topic><topic>Dermal Fillers - adverse effects</topic><topic>Female</topic><topic>Fluorescein Angiography</topic><topic>Humans</topic><topic>Hyaluronic Acid - adverse effects</topic><topic>Infarction, Anterior Cerebral Artery - chemically induced</topic><topic>Infarction, Anterior Cerebral Artery - diagnostic imaging</topic><topic>Injections, Intradermal</topic><topic>Magnetic Resonance Imaging</topic><topic>Ophthalmic Artery - drug effects</topic><topic>Ophthalmic Artery - pathology</topic><topic>Retinal Artery Occlusion - chemically induced</topic><topic>Retinal Artery Occlusion - diagnostic imaging</topic><topic>Skin Aging - drug effects</topic><topic>Tomography, Optical Coherence</topic><topic>Viscosupplements - adverse effects</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ansari, Zubair A</creatorcontrib><creatorcontrib>Choi, Catherine J</creatorcontrib><creatorcontrib>Rong, Andrew J</creatorcontrib><creatorcontrib>Erickson, Benjamin P</creatorcontrib><creatorcontrib>Tse, David T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Orbit (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ansari, Zubair A</au><au>Choi, Catherine J</au><au>Rong, Andrew J</au><au>Erickson, Benjamin P</au><au>Tse, David T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ocular and cerebral infarction from periocular filler injection</atitle><jtitle>Orbit (Amsterdam)</jtitle><addtitle>Orbit</addtitle><date>2019-08</date><risdate>2019</risdate><volume>38</volume><issue>4</issue><spage>322</spage><epage>324</epage><pages>322-324</pages><issn>0167-6830</issn><eissn>1744-5108</eissn><notes>ObjectType-Case Study-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-4</notes><notes>content type line 23</notes><notes>ObjectType-Report-1</notes><notes>ObjectType-Article-3</notes><abstract>A 20-year-old woman presented with loss of vision in her right eye and a "black nose" after receiving hyaluronic acid filler injections in her right glabella 1 month prior. Her vision was no light perception, and external examination revealed resolving skin necrosis at the nasal tip. A dilated fundus exam showed a fibrotic membrane emanating from a pale optic nerve and a diffusely atrophic retina with sclerotic vessels. An MRI demonstrated scattered right-sided parietal lobe infarcts. These findings were consistent with inadvertent cannulation of the supraorbital artery, followed by injection of filler into the internal carotid circulation. The product traveled in a retrograde fashion, occluding the right ophthalmic artery, right dorsal nasal artery, and arterial segments to the Circle of Willis. This case highlights the importance of understanding the complex vascular architecture of the periorbita and the mechanism by which such occlusions occur.</abstract><cop>England</cop><pmid>30376386</pmid><doi>10.1080/01676830.2018.1537287</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-2593-8375</orcidid><orcidid>https://orcid.org/0000-0002-2178-468X</orcidid></addata></record> |
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| language | eng |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| subjects | Acute Disease Arterial Occlusive Diseases - chemically induced Arterial Occlusive Diseases - diagnostic imaging Blindness - chemically induced Dermal Fillers - adverse effects Female Fluorescein Angiography Humans Hyaluronic Acid - adverse effects Infarction, Anterior Cerebral Artery - chemically induced Infarction, Anterior Cerebral Artery - diagnostic imaging Injections, Intradermal Magnetic Resonance Imaging Ophthalmic Artery - drug effects Ophthalmic Artery - pathology Retinal Artery Occlusion - chemically induced Retinal Artery Occlusion - diagnostic imaging Skin Aging - drug effects Tomography, Optical Coherence Viscosupplements - adverse effects Young Adult |
| title | Ocular and cerebral infarction from periocular filler injection |
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