Ophthalmic artery occlusion following local hyaluronic acid injection: A case report.
Ziqi Xiong, Haiming Lv, Chunhuan Niu et al.
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Case in brief
A 46-year-old female experienced sudden vision loss and skin mottling after hyaluronic acid injection into the nasal bridge. Initial treatment included intravenous dexamethasone and thrombolysis, but no visual improvement occurred. Upon further evaluation, she was diagnosed with ophthalmic artery occlusion. Despite integrated treatment combining traditional Chinese and Western medicine, her visual acuity remained no light perception, with progressive retinal atrophy noted over 10 months.
Diagnostic / clinical pearl
Clinicians should be aware that ophthalmic artery occlusion can occur following hyaluronic acid injections, leading to severe visual impairment, and should maintain a high index of suspicion for this rare complication.
Why it matters
This case highlights the need for standardized injection techniques and risk prevention measures in aesthetic procedures to enhance patient safety and minimize the risk of serious complications.