Choroid vascular occlusion and ischemic optic neuropathy after facial calcium hydroxyapatite injection- a case report

BMC Surgery

Case Report

You-Ling Li¹  Yi-Yu Tsai¹  Chien-Chih Chou¹  Hui-Ju Lin²  Hsin-Han Chen³ 

[1] Department of Ophthalmology, China Medical University Hospital, No. 2 Yuh Der Road, 404, Taichung, Taiwan;Department of Ophthalmology, China Medical University Hospital, No. 2 Yuh Der Road, 404, Taichung, Taiwan;Department of Medical Research, China Medical University Hospital, Taichung, Taiwan;School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan;Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan;

关键词: Calcium hydroxyapatite;    Nose augmentation;    Choroid vascular occlusion;    Ischemic optic neuropathy;    Vision loss;    Filler;   

DOI  :  10.1186/s12893-015-0007-3

 received in 2014-11-26, accepted in 2015-02-10,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundWe reported a case of sudden monocular vision loss after calcium hydroxyapatite (CaHA) injection into the nasal tip and dorsum with detailed retina images.Case presentationA healthy, 35-year-old woman received CaHA filler injection for nose augmentation. Ten minutes after the procedure, she developed nausea, vomiting, headache, ptosis, and left periorbital pain. After 30 minutes, she complained of progressively blurring vision in the left eye. The best-corrected visual acuity (BCVA) in her left eye was 30 cm ahead of hand motion. Left exotropia was noted in primary gaze. Limitations in adduction, supraduction, and infraduction of the left eye were also observed. Slit lamp examination of the left eye revealed a pink conjunctiva, a clear cornea, a mild anterior chamber reaction, a sluggish papillary light reflex, and a semi-dilated pupil. A positive relative afferent pupillary defect was observed in the left eye. Fundus examination revealed optic disc edema and some linear whitish opacity over the superior and temporal sites in the left eye, suggesting multiple CaHA emboli in the choroid vessels.ConclusionsAlthough the majority of adverse reactions are mild and transient, surgeons should be alert about extremely rare serious adverse events such as visual loss.

【 授权许可】

Unknown   
© Chou et al.; licensee BioMed Central. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.