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Yun Jeong Lee, Young Joo Park, Kyu Hyung Park, Se Joon Woo; Long-term visual and anatomic outcomes of cosmetic facial filler-related retinal artery occlusion. Invest. Ophthalmol. Vis. Sci. 2019;60(9):2592.
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© ARVO (1962-2015); The Authors (2016-present)
To analyze long-term visual and anatomic outcomes of cosmetic filler-related retinal artery occlusion patients
Retrospectve analysis of medical records of patients who had cosmetic facial filler-related retinal artery occlusion with follow up period of 1 year or longer was carried out between October 2008 to October 2018. Best-corrected visual acuity (BCVA) during the follow up period and long-term anatomic complications were analyzed.
A total of 13 patients were included in this study. Mean age at diagnosis was 31.25±10.38 years and all patients were female. Mean follow-up period was 3.83±1.58 years (1.40-6.67). Mean BCVA were 2.81 and 2.88 (logMAR) at intial and last visit, respectively, which indicates sustained long-term visual decrement.[WSJ1] Ocular complications included pthisis (25.0%), neovascularization (33.3%), strabismus (91.7%), corneal opacity (16.7%), cataract (33.3%) and other complications (50.0%) such as opthalmoplegia, iris atrophy, posterior synechiae, pupillary block, retinal fibrotic mass, retinal hemorrhage, retinal tractional membrane. Extra-ocular manifestation of skin necrosis was found in 16.7% patients.
Cosmetic facial filler-related retinal artery occlusion resulted in long-term poor visual outcome and most of the patients experienced no light perception without visual improvement. Anatomic complications such as pthsis, neovascularization, strabismus, corneal opacity and cataract were commonly accompanied and therefore, they should be monitored for the long-term follow-up period.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.
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