Abstract ID: 26-165
A variety of sequelae after filler injections in oculoplastic practice
Author: Vladimir Sheptulin Base Hospital / Institution: Krasnov Institute of Eye Diseases
Presentation Type: ePoster Presentation
Purpose
Amid the increasing use of fillers for both cosmetic and functional purposes, careful risk assessment is mandatory. This study aims to highlight the potential complications by presenting a case series of filler-related sequelae in our practice
Methods
Retrospective case series including three patients from our oculoplastic department
Results
Case 1: A 46-year-old female presented with right-sided exophthalmos (2 mm) and transient diplopia. According to the history, following orbital floor fracture repair, she received multiple intraorbital autologous fat and hyaluronic acid (HA) filler injections for enophthalmos correction. CT and MRI revealed filler and fat particles in the extraconal space on MRI and notable, deposits within the superior and inferior recti extraocular muscles. Despite this, her visual acuity remained 1.0 with no ophthalmoplegia.
Case 2: A 40-year-old female suffered acute vision loss immediately after HA filler rhinoplasty. Examination showed ptosis, exotropia, ophthalmoplegia and reduced visual acuity of 0.05. Combination therapy with periocular and retrobulbar hyaluronidase plus hyperbaric oxygen therapy led to nearly complete visual recovery (1.0) with residual field defects.
Case 3: A 60-year-old female presented with upper eyelid retraction, lagophthalmos and lower eyelid ectropion. According to her medical history she suffered one-sided acute upper and lower eyelid swelling a day after tear through HA filler injection. She was diagnosed with necrotizing fasciitis and received IV antibiotics treatment.
Conclusion
To our knowledge, this is the first report demonstrating extraocular muscle filler / fat accumulation after intraorbital injections. This case series illustrates the wide spectrum of filler-related sequelae in oculoplastic practice, underlying the importance of early recognition, appropriate diagnostic and treatment.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Yaroslav | Grusha | Krasnov Institute of Eye Diseases |