Ophthalmoplegia with skin necrosis after a hyaluronic acid filler injection

Beom Jun Kim; Hi Jin You; Ileok Jung; Deok Woo Kim

doi:10.1111/jocd.13403

Ophthalmoplegia with skin necrosis after a hyaluronic acid filler injection

Beom Jun Kim, Hi Jin You, Ileok Jung, Deok Woo Kim

Research output: Contribution to journal › Comment/debate › peer-review

11 Citations (Scopus)

Abstract

Hyaluronic acid filler injection is commonly used for aesthetic purposes. However, many clinicians neglect the possibility of developing vascular occlusion and its devastating sequelae. Besides visual loss after iatrogenic ophthalmic artery occlusion, ophthalmoplegia without blindness is rare but may occur. Here, we report a 23-year-old woman with ptosis, lateral deviation of the right eye, and skin necrosis after hyaluronic acid filler injection. After hyaluronidase injection and steroid pulse therapy, ptosis and eye movement were completely restored. Skin necrosis was treated with a human epithelial growth factor ointment, followed by Nd:YAG laser. Complete healing with minimal scar was achieved.

Original language	English
Pages (from-to)	1307-1310
Number of pages	4
Journal	Journal of Cosmetic Dermatology
Volume	19
Issue number	6
DOIs	https://doi.org/10.1111/jocd.13403
Publication status	Published - 2020 Jun 1

Bibliographical note

Funding Information:
This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea Ministry of Science and ICT (MSIT) (No. NRF‐2017R1C1B5077085).

Publisher Copyright:
© 2020 Wiley Periodicals, Inc.

Keywords

hyaluronic acid filler
necrosis
oculomotor nerve palsy
ophthalmoplegia

ASJC Scopus subject areas

Dermatology

Access to Document

10.1111/jocd.13403

Cite this

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title = "Ophthalmoplegia with skin necrosis after a hyaluronic acid filler injection",

abstract = "Hyaluronic acid filler injection is commonly used for aesthetic purposes. However, many clinicians neglect the possibility of developing vascular occlusion and its devastating sequelae. Besides visual loss after iatrogenic ophthalmic artery occlusion, ophthalmoplegia without blindness is rare but may occur. Here, we report a 23-year-old woman with ptosis, lateral deviation of the right eye, and skin necrosis after hyaluronic acid filler injection. After hyaluronidase injection and steroid pulse therapy, ptosis and eye movement were completely restored. Skin necrosis was treated with a human epithelial growth factor ointment, followed by Nd:YAG laser. Complete healing with minimal scar was achieved.",

keywords = "hyaluronic acid filler, necrosis, oculomotor nerve palsy, ophthalmoplegia",

author = "Kim, {Beom Jun} and You, {Hi Jin} and Ileok Jung and Kim, {Deok Woo}",

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AU - You, Hi Jin

AU - Jung, Ileok

AU - Kim, Deok Woo

N1 - Funding Information: This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea Ministry of Science and ICT (MSIT) (No. NRF‐2017R1C1B5077085). Publisher Copyright: © 2020 Wiley Periodicals, Inc.

PY - 2020/6/1

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N2 - Hyaluronic acid filler injection is commonly used for aesthetic purposes. However, many clinicians neglect the possibility of developing vascular occlusion and its devastating sequelae. Besides visual loss after iatrogenic ophthalmic artery occlusion, ophthalmoplegia without blindness is rare but may occur. Here, we report a 23-year-old woman with ptosis, lateral deviation of the right eye, and skin necrosis after hyaluronic acid filler injection. After hyaluronidase injection and steroid pulse therapy, ptosis and eye movement were completely restored. Skin necrosis was treated with a human epithelial growth factor ointment, followed by Nd:YAG laser. Complete healing with minimal scar was achieved.

AB - Hyaluronic acid filler injection is commonly used for aesthetic purposes. However, many clinicians neglect the possibility of developing vascular occlusion and its devastating sequelae. Besides visual loss after iatrogenic ophthalmic artery occlusion, ophthalmoplegia without blindness is rare but may occur. Here, we report a 23-year-old woman with ptosis, lateral deviation of the right eye, and skin necrosis after hyaluronic acid filler injection. After hyaluronidase injection and steroid pulse therapy, ptosis and eye movement were completely restored. Skin necrosis was treated with a human epithelial growth factor ointment, followed by Nd:YAG laser. Complete healing with minimal scar was achieved.

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KW - oculomotor nerve palsy

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Ophthalmoplegia with skin necrosis after a hyaluronic acid filler injection

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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