Intra-Arterial Thrombolytic Therapy Is Not a Therapeutic Option for Filler-Related Central Retinal Artery Occlusion.

Facial plastic surgery : FPS 2018 Vol.34(3) p. 325-329

Chen YC, Wu HM, Chen SJ, Lee HJ, Lirng JF, Lin CJ, Chang FC, Luo CB, Guo WY

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Abstract

Cosmetic facial filler-related central retinal artery occlusion (CRAO) is a devastating complication of facial hyaluronic acid (HA) injection and can be managed by intra-arterial thrombolytic therapy (IATT). The authors report on a 20-year-old woman who developed unilateral CRAO due to facial HA injection and who, despite prompt IATT, lost vision. A review of the related literature found 14 other female patients who developed cosmetic facial filler-related CRAO and accepted IATT management. In no case was vision loss clinically improved. IATT is not an effective preventive treatment of dermal filler-associated CRAO. The authors suggest careful preprocedural patient selection to prevent this complication.

추출된 의학 개체 (NER)

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

MeSH Terms

Angiography; Blindness; Dermal Fillers; Female; Humans; Hyaluronic Acid; Hyaluronoglucosaminidase; Infusions, Intra-Arterial; Retinal Artery Occlusion; Treatment Failure; Urokinase-Type Plasminogen Activator; Young Adult

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