Isolated Ophthalmoplegia After Periorbital Hyaluronic Acid Filler Injection.

Ophthalmic plastic and reconstructive surgery 2024 Vol.40(3) p. e80-e82

Bruce CN, Esmaili N

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Abstract

Facial filler injections are the second most commonly performed in-office cosmetic procedure. Vision loss is the most feared complication of hyaluronic acid (HA) filler injection, but isolated ophthalmoplegia can also occur. We report the case of a 45-year-old woman who developed nausea and diplopia following HA filler injection to the bilateral periorbital region. She presented with a left hypertropia and left-sided motility deficit without vision involvement. MRI of the orbits demonstrated mild enhancement and enlargement of the left inferior rectus and inferior oblique muscles. Treatment consisted of hyaluronidase injection and oral steroids. HA filler can cause isolated ocular misalignment and diplopia without associated vision loss. Patients should be counseled on these risks before undergoing soft tissue augmentation of the face with HA filler.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
재료 ha 히알루론산 dict 4
시술 ha filler 필러 주입술 dict 3
시술 filler 필러 주입술 dict 2
재료 hyaluronic acid 히알루론산 dict 2
시술 hyaluronic acid filler 필러 주입술 dict 1

MeSH Terms

Humans; Female; Hyaluronic Acid; Middle Aged; Ophthalmoplegia; Dermal Fillers; Cosmetic Techniques; Magnetic Resonance Imaging; Hyaluronoglucosaminidase; Orbit; Oculomotor Muscles; Diplopia

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