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Keywords

Central retinal artery occlusion, Filler injection, Visual loss

Abstract

A 37-year-old female presented to a tertiary referral hospital with sudden vision loss in her right eye following a filler injection in her nasal dorsum area. On initial examination, her vision was documented as no perception of light. The diagnosis was iatrogenic central retinal artery occlusion (CRAO) suspected from filler emboli. Her initial treatment was ocular massage, hyperbaric oxygen treatment, anterior chamber paracentesis and administration of aqueous suppressants. Subcutaneous hyaluronidase injection was attempted three times at her nasal dorsum area. The patient also underwent cerebral angiography with injection of 1500 IU hyaluronidase at the orbital branch of middle meningeal artery. Despite this management, the patient's final visual acuity is no light perception.

References

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