[Multiple embolizations of the branches of the ophthalmic artery: an unknown serious complication of facial surgeries].
We present a patient with ocular ischemia following autologous refined fat injection (lipostructure) into the glabellar area to treat wrinkles. We think this visual loss is directly a consequence of the surgery, by retrograde arteriolar microembolus into the ophthalmic artery via peripheral anastomoses with the arteries of the face. These complications are on the rise because of the esthetic facial injections of viscous materials. We explain the pathophysiology and present a review of the litterature.
Allali
J
J
Service d'Ophtalmologie, Hôpital Hôtel-Dieu, 1 place du parvis de Notre Dame, 75181 Paris Cedex 04. allgerome@caramail.com
Bernard
A
A
Assaraf
E
E
Bourges
J-L
JL
Renard
G
G
D003357:Cosmetic Techniques / Q000009:adverse effects*; D004617:Embolism / Q000209:etiology*; D005260:Female; D006801:Humans; D007267:Injections; D008875:Middle Aged; D009880:Ophthalmic Artery; D012720:Severity of Illness Index; D050507:Subcutaneous Fat, Abdominal