Visual loss after aesthetic facial filler injection: a literature review on an ophthalmologic issue

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorKATO, Juliana Mika
dc.contributor.authorMATAYOSHI, Suzana
dc.date.accessioned2022-08-12T17:11:15Z
dc.date.available2022-08-12T17:11:15Z
dc.date.issued2022
dc.description.abstractDermal filler injection is among facial rejuvenation treatments that have been increasingly used. Despite being a minimally invasive procedure, it can lead to severe complications such as blindness. A review of all cases of filler-induced visual loss in the world literature was conducted to summarize the mechanisms, anatomical considerations, and clinical ophthalmologic course, current strategies of prevention and management, and trends over the years. We identified 233 cases of filler-induced visual loss, and 172 patients had a severe visual impairment in at least one eye. The typical patients are young women who received injections of hyaluronic acid or autologous fat in the glabella or nose, and the typical presentations were sudden ocular pain, ptosis, and ophthalmoplegia due to vascular occlusion. The findings of this study also suggest an increase in the number of unlicensed professionals performing the procedure. Even though the continued development of dermal fillers has improved the treatment options available, further studies and strategies are necessary to reduce the incidence and minimize the consequences of filler-induced visual loss.eng
dc.description.abstractO uso de preenchedores dérmicos é uma prática bem estabelecida de rejuvenescimento facial. Embora seja um procedimento minimamente invasivo, pode levar a complicações graves como cegueira. Uma revisão de casos de perda visual pós preenchimento facial estético foi conduzida para descrever os mecanismos, considerações anatômicas, quadro oftalmológico, atuais estratégias de prevenção e manejo, e tendências ao longo dos anos. Foram identificados 233 casos, e 172 pacientes tiveram ao menos um olho com baixa visão ao final do seguimento. O paciente típico é uma mulher jovem submetida a preenchimento de ácido hialurônico na glabela ou nariz, apresentando dor ocular súbita, ptose e oftalmoplegia devido à oclusão vascular. Este estudo também destaca um possível aumento de profissionais não habilitados realizando este procedimento. Apesar do contínuo desenvolvimento dos preenchedores dérmicos e aprimoramento das opções de tratamento disponíveis, mais estudos e estratégias são necessários para reduzir a incidência de complicações e minimizar suas consequências.
dc.description.indexMEDLINEeng
dc.identifier.citationARQUIVOS BRASILEIROS DE OFTALMOLOGIA, v.85, n.3, p.309-319, 2022
dc.identifier.doi10.5935/0004-2749.20220048
dc.identifier.eissn1678-2925
dc.identifier.issn0004-2749
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/48473
dc.language.isoeng
dc.publisherCONSEL BRASIL OFTALMOLOGIAeng
dc.relation.ispartofArquivos Brasileiros de Oftalmologia
dc.rightsopenAccesseng
dc.rights.holderCopyright CONSEL BRASIL OFTALMOLOGIAeng
dc.subjectDermal fillereng
dc.subjectinjectioneng
dc.subjectCosmetic technique/adverse effecteng
dc.subjectRetinal artery occlusioneng
dc.subjectVisioneng
dc.subjectlow/etiologyeng
dc.subjectPreenchedor dérmico
dc.subjectInjeção
dc.subjectTécnica cosmética/efeito adverso
dc.subjectOclusão da artéria retiniana
dc.subjectBaixa visão/etiologia
dc.subject.otherautologous fat injectioneng
dc.subject.otherretinal artery-occlusioneng
dc.subject.otherhyaluronic-acid fillerseng
dc.subject.otheroculomotor nerve palsyeng
dc.subject.othercalcium hydroxylapatite injectioneng
dc.subject.othermiddle cerebral-arteryeng
dc.subject.othervision losseng
dc.subject.othercomplete recoveryeng
dc.subject.otherbrain infarctioneng
dc.subject.otherskin necrosiseng
dc.subject.wosOphthalmologyeng
dc.titleVisual loss after aesthetic facial filler injection: a literature review on an ophthalmologic issueeng
dc.title.alternativePerda visual após preenchimento facial estético: uma revisão da literatura sobre complicações oftalmológicas
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus4
hcfmusp.contributor.author-fmusphcJULIANA MIKA KATO
hcfmusp.contributor.author-fmusphcSUZANA MATAYOSHI
hcfmusp.description.beginpage309
hcfmusp.description.endpage319
hcfmusp.description.issue3
hcfmusp.description.volume85
hcfmusp.origemWOS
hcfmusp.origem.pubmed34852044
hcfmusp.origem.scieloSCIELO:S0004-27492022000300309
hcfmusp.origem.scopus2-s2.0-85132455465
hcfmusp.origem.wosWOS:000830494000016
hcfmusp.publisher.citySAO PAULOeng
hcfmusp.publisher.countryBRAZILeng
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