title: Ipsilateral Ophthalmic and Cerebral Infarctions After Cosmetic Polylactic Acid Injection Into the Forehead.
abstract: A 55-year-old woman developed no light perception vision in her right eye 5 days after an injection of polylactic acid cosmetic filler into her right forehead. Diffuse corneal edema and anterior chamber inflammation prohibited any view to the posterior segment to identify the cause of her profound vision loss. MRI of the orbits with diffusion-weighted imaging showed hyperintensity of the right optic nerve with signal reduction on apparent diffusion coefficient mapping, consistent with ischemia. Our patient also was found to have acute infarctions in the distribution of the right anterior cerebral artery on MRI of the brain despite having no permanent focal neurologic deficits aside from vision loss.
authors.affiliation: The Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.
authors.forename: Ashwinee
authors.initials: A
authors.lastname: Ragam
authors.forename: Steven A
authors.initials: SA
authors.lastname: Agemy
authors.forename: Sarita B
authors.initials: SB
authors.lastname: Dave
authors.forename: Azita S
authors.initials: AS
authors.lastname: Khorsandi
authors.forename: Rudrani
authors.initials: R
authors.lastname: Banik
mesh_terms: D020341:Absorbable Implants; D003357:Cosmetic Techniques / Q000009:adverse effects*; D005260:Female; D005546:Forehead; D006801:Humans; D020243:Infarction, Anterior Cerebral Artery / Q000139:chemically induced* / Q000175:diagnosis; D007279:Injections, Subcutaneous; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018917:Optic Neuropathy, Ischemic / Q000139:chemically induced* / Q000175:diagnosis; D011091:Polyesters / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D011091:Polyesters; C033616:poly(lactide)