Retinal artery occlusion after facial filler injection in a patient with patent foramen ovale: a case report and literature review
We describe a young woman with patent foramen ovale who developed multiple retinal artery occlusion in the right eye after injection of hyaluronic acid into the nasal root. She reported a gradual decline in visual acuity, with visual field defects that had developed in two stages. Multiple retinal a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-09-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231194514 |
| _version_ | 1797678116138647552 |
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| author | Mingwei Si Hong Wang |
| author_facet | Mingwei Si Hong Wang |
| author_sort | Mingwei Si |
| collection | DOAJ |
| description | We describe a young woman with patent foramen ovale who developed multiple retinal artery occlusion in the right eye after injection of hyaluronic acid into the nasal root. She reported a gradual decline in visual acuity, with visual field defects that had developed in two stages. Multiple retinal artery occlusion was confirmed by slit-lamp examination, dilated fundus examination, optical coherence tomography, visual field examination, and fundus fluorescein angiography. A patent foramen ovale was detected by electrocardiography, transesophageal echocardiography, and transthoracic sonography. The patient was treated with intravenous dexamethasone and cobamamide, as well as extracorporeal counterpulsation therapy; this approach has not been described in previous literature regarding retinal artery occlusion. The patient’s visual acuity improved from counting fingers at 30 cm to 20/133 within 3 days. Our report emphasizes the need for better understanding of vascular anatomy to minimize the risk of complications. Moreover, patients undergoing hyaluronic acid injection should receive information regarding the potential for mild and severe complications; relevant tests should be performed before surgery to exclude vulnerable patients. Finally, a nursing system is needed to facilitate the emergency recognition, triage, and management of retinal artery occlusion. |
| first_indexed | 2024-03-11T22:55:00Z |
| format | Article |
| id | doaj.art-c9adc7b5f9aa4932b9cced70386b336d |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-03-11T22:55:00Z |
| publishDate | 2023-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-c9adc7b5f9aa4932b9cced70386b336d2023-09-21T19:03:31ZengSAGE PublishingJournal of International Medical Research1473-23002023-09-015110.1177/03000605231194514Retinal artery occlusion after facial filler injection in a patient with patent foramen ovale: a case report and literature reviewMingwei SiHong WangWe describe a young woman with patent foramen ovale who developed multiple retinal artery occlusion in the right eye after injection of hyaluronic acid into the nasal root. She reported a gradual decline in visual acuity, with visual field defects that had developed in two stages. Multiple retinal artery occlusion was confirmed by slit-lamp examination, dilated fundus examination, optical coherence tomography, visual field examination, and fundus fluorescein angiography. A patent foramen ovale was detected by electrocardiography, transesophageal echocardiography, and transthoracic sonography. The patient was treated with intravenous dexamethasone and cobamamide, as well as extracorporeal counterpulsation therapy; this approach has not been described in previous literature regarding retinal artery occlusion. The patient’s visual acuity improved from counting fingers at 30 cm to 20/133 within 3 days. Our report emphasizes the need for better understanding of vascular anatomy to minimize the risk of complications. Moreover, patients undergoing hyaluronic acid injection should receive information regarding the potential for mild and severe complications; relevant tests should be performed before surgery to exclude vulnerable patients. Finally, a nursing system is needed to facilitate the emergency recognition, triage, and management of retinal artery occlusion.https://doi.org/10.1177/03000605231194514 |
| spellingShingle | Mingwei Si Hong Wang Retinal artery occlusion after facial filler injection in a patient with patent foramen ovale: a case report and literature review Journal of International Medical Research |
| title | Retinal artery occlusion after facial filler injection in a patient with patent foramen ovale: a case report and literature review |
| title_full | Retinal artery occlusion after facial filler injection in a patient with patent foramen ovale: a case report and literature review |
| title_fullStr | Retinal artery occlusion after facial filler injection in a patient with patent foramen ovale: a case report and literature review |
| title_full_unstemmed | Retinal artery occlusion after facial filler injection in a patient with patent foramen ovale: a case report and literature review |
| title_short | Retinal artery occlusion after facial filler injection in a patient with patent foramen ovale: a case report and literature review |
| title_sort | retinal artery occlusion after facial filler injection in a patient with patent foramen ovale a case report and literature review |
| url | https://doi.org/10.1177/03000605231194514 |
| work_keys_str_mv | AT mingweisi retinalarteryocclusionafterfacialfillerinjectioninapatientwithpatentforamenovaleacasereportandliteraturereview AT hongwang retinalarteryocclusionafterfacialfillerinjectioninapatientwithpatentforamenovaleacasereportandliteraturereview |