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Filler-induced blindness "seen" by ophthalmologists: Case presentation and treatment algorithm
A Martel1, J Lagier1, E Sarfati2
1Ophthalmology department, University Hospital of Nice, Cote d'Azur University, 30, voie romaine, 06000 Nice, France.
Journal Francais D'Ophtalmologie
|June 19, 2022
Summary
Filler-induced blindness (FIB) is a severe complication of periocular injections. This case report details a new treatment algorithm for FIB, leading to partial visual recovery using fluorescein angiography.
Area of Science:
- Ophthalmology
- Vascular Surgery
Background:
- Filler-induced blindness (FIB) is a critical complication of periocular injections, lacking a standardized treatment protocol.
- Early recognition and intervention are crucial for managing vision loss following cosmetic procedures.
Observation:
- A case of complete vision loss after forehead lipofilling was reported.
- Retinal angiography revealed a posterior ciliary artery occlusion.
Findings:
- Treatment included antiplatelet medication, steroids, IOP-lowering drugs, and hyperbaric oxygen therapy (HBOT).
- Fluorescein angiography guided HBOT, resulting in partial visual acuity improvement to +0.8 logMar.
- A personalized FIB treatment algorithm based on fluorescein angiography was developed.
Implications:
- Physicians must be prepared to manage FIB with prompt, protocol-guided treatment and emergency kits.
- Referral centers should utilize personalized, angiography-guided approaches for optimal outcomes in FIB management.
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