Retinal branch artery occlusion following injection of hyaluronic acid (Restylane)
Article first published online: 8 JUN 2006
Clinical & Experimental Ophthalmology
Volume 34, Issue 4, pages 363–364, May 2006
How to Cite
Peter, S. and Mennel, S. (2006), Retinal branch artery occlusion following injection of hyaluronic acid (Restylane). Clinical & Experimental Ophthalmology, 34: 363–364. doi: 10.1111/j.1442-9071.2006.01224.x
- Issue published online: 8 JUN 2006
- Article first published online: 8 JUN 2006
- Received 3 August 2005; accepted 30 October 2005.
- hyaluronic acid;
- retinal artery branch occlusion;
- vision loss
The authors report a retinal branch artery occlusion occurring after facial injection of a dermal filler. The superior temporal artery showed occlusion due to a clearly visible long and fragmented embolus suggestive of gel and clearly distinguishable from calcific or cholesterol emboli. The authors suppose that hyaluronic acid gel was embolized in the patient. The embolized material is supposed to enter the ocular circulation through retrograde arteriolar flow after intra-arterial injection into one of the peripheral branches of the ophthalmic artery. If there is any evidence of a visual problem after facial injection of a dermal filler, prompt consultation of an ophthalmologist is recommended.