Zeitschrift für klinische und experimentelle Ophthalmologie
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Sudden Visual Loss Following Cosmetic Poly-(L)-Lactic Acid Injection into the Forehead: A Case Report

Yu-Chieh Wu, Keng-Hung Lin, Ying-Cheng Shen and Li-Chen Wei

An increasing number of people are pursuing aesthetic enhancement and rejuvenation by means of facial filler injections. We report a rare case of a 28-year-old female with blindness and partial ophthalmoplegia of the left eye following subcutaneous injection in the forehead with filler poly-(L)-lactic acid, which has not been reported previously. The patient suffered from sharp pain and then blurred vision immediately after the injections. The patient had permanent vision loss despite immediate ophthalmological intervention and comprehensive therapy with heparin infusion, systemic corticosteroid treatment and hyperbaric therapy. Clinicians and patients should be aware of the risk of iatrogenic artery occlusion associated with facial fillers and that immediate treatment is paramount in such an event in order to reduce the likelihood of devastating consequences.