Branch retinal artery occlusion after periocular dermal filler injection.
OBJECTIVE
To report a case of branch retinal artery occlusion, choroidal ischemia, ischemic optic neuropathy, and suspicious traumatic optic neuropathy after periocular dermal filler injection.


METHODS
History taking and ocular examinations were performed to find out the cause of sudden visual loss.


RESULTS
On the fundus examination, occluded branch retinal artery was filled with long, fragmented, transparent materials which might be injected dermal filler. Fluorescein angiography showed arterial filling time delay with long, fragmented materials obstructing superior temporal retinal artery, nonperfusion areas around the occluded retinal artery territory, filling defect at temporal half of optic disk, and choroidal filling defect at nasal aspect of the retina.


CONCLUSIONS
When injecting dermal filler, ocular complications should be considered.
From the *Department of Ophthalmology, Inje University College of Medicine, Seoul Paik Hospital; and †Department of Ophthalmology, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.
Young-Hoon
YH
Hwang
Je-Hyung
JH
Hwang
Jae-Suk
JS
Kim