title: Ocular Complications Following Autologous Fat Injections into Facial Area: Case Report of a Recovery from Visual Loss After Ophthalmic Artery Occlusion and a Review of the Literature.
abstract: With the increase in popularity of the use of cosmetic fillers in plastic and esthetic surgery, the possibility of severe ocular complications should not be neglected. Of the fillers used, autologous fat is the most common to cause permanent visual deterioration, one of the most severe complications associated with the use of cosmetic fillers. Here we present the first report of a complete recovery of visual acuity from an instance of visual loss with no light perception caused by ophthalmic artery occlusion of the right eye following autologous fat injection in the facial area. Immediate ophthalmological intervention and comprehensive therapy with prostaglandins and vinpocetine made it possible to restore retinal perfusion and achieve complete recovery of visual acuity. Awareness of the iatrogenic artery occlusions associated with facial fillers and the need for immediate treatment should be popularized among injectors to prevent devastating consequences, such as permanent vision loss. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Department of Cranio-Maxillo-Facial, Oncological and Reconstructive Surgery, Jagiellonian University Medical College, Ludwik Rydygier Memorial Specialized Hospital, 31-826 Kraków, Os. Złotej Jesieni 1, Cracow, Poland. ola_sz@op.pl.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Szantyr
authors.affiliation: Department of Ophthalmology, Ludwik Rydygier Memorial Specialized Hospital, Cracow, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Orski
authors.affiliation: Department of Ophthalmology, Ludwik Rydygier Memorial Specialized Hospital, Cracow, Poland.
authors.forename: Ida
authors.initials: I
authors.lastname: Marchewka
authors.affiliation: Department of Cranio-Maxillo-Facial, Oncological and Reconstructive Surgery, Jagiellonian University Medical College, Ludwik Rydygier Memorial Specialized Hospital, 31-826 Kraków, Os. Złotej Jesieni 1, Cracow, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Szuta
authors.affiliation: Department of Ophthalmology, Ludwik Rydygier Memorial Specialized Hospital, Cracow, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Orska
authors.affiliation: Department of Cranio-Maxillo-Facial, Oncological and Reconstructive Surgery, Jagiellonian University Medical College, Ludwik Rydygier Memorial Specialized Hospital, 31-826 Kraków, Os. Złotej Jesieni 1, Cracow, Poland.
authors.forename: Jan
authors.initials: J
authors.lastname: Zapała
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D001157:Arterial Occlusive Diseases / Q000188:drug therapy* / Q000209:etiology* / Q000503:physiopathology; D001766:Blindness / Q000209:etiology* / Q000503:physiopathology; D003357:Cosmetic Techniques / Q000009:adverse effects; D005151:Facial Injuries / Q000628:therapy*; D005500:Follow-Up Studies; D005546:Forehead / Q000293:injuries; D006801:Humans; D007279:Injections, Subcutaneous; D008297:Male; D009880:Ophthalmic Artery / Q000473:pathology*; D011453:Prostaglandins / Q000008:administration & dosage; D020127:Recovery of Function; D018570:Risk Assessment; D014182:Transplantation, Autologous / Q000009:adverse effects; D014748:Vinca Alkaloids / Q000008:administration & dosage; D014792:Visual Acuity
chemical_list: D011453:Prostaglandins; D014748:Vinca Alkaloids; C013983:vinpocetine
keywords: Autologous fat; Blindness; Facial fillers; Filler injection; Vision loss