Recovery of Acute Ophthalmoplegia after Hyaluronic Acid Filler Injections to the Temples: A Case Report and Review of the Literature

Author:

Tabatabaei Fatemeh-sadat1ORCID,Azimi Amirali1ORCID,Tabatabaei Seyyed Shahabeddin2ORCID,Pakdaman Hossein3ORCID

Affiliation:

1. Students' Scientific Research Center (SRCC), School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

2. Department of Neurology, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3. Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

AbstractSoft tissue filler injection is the second most common nonsurgical cosmetic procedure. Despite the safety of fillers, as use has grown, so has the number of patients affected by adverse events. Ophthalmoplegia following cosmetic filler injection is a rare complication, mostly occurring after injection to the glabella, nasolabial fold, periorbital, and lateral nasal site. In all cases where ophthalmoplegia has been reported following fillers, patients have simultaneously experienced vision loss and other ocular symptoms. We report a case of isolated acute ophthalmoplegia following hyaluronic acid injection solely in the temple region. A 40-year-old woman, 3 hours after the procedure, presented to our hospital with left eye ophthalmoplegia, ptosis, and hypotropia. Treatment started with hyaluronidase, steroids, and anticoagulants. After 4 weeks, left eye ophthalmoplegia remained unchanged, and through a 10-week follow-up, all left ocular movements improved, and only mild hypotropia and ptosis persisted. This case report shows that ophthalmoplegia may also happen with temple region filler injections. We also review available prevention techniques and treatments to avoid such complications when performing soft tissue fillers for gaunt appearance correction.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

Reference15 articles.

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Isolated Ophthalmoplegia After Periorbital Hyaluronic Acid Filler Injection;Ophthalmic Plastic & Reconstructive Surgery;2024-01-17

2. Hyaluronic-acid;Reactions Weekly;2023-10-14

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