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BMC Ophthalmology

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Open Access 01-12-2014 | Case report

Partial vision recovery after iatrogenic retinal artery occlusion

Authors: Shu-Fang Hsiao, Yi-Hsun Huang

Published in: BMC Ophthalmology | Issue 1/2014

Abstract

Background

To describe the first case of partial vision recovery in a 32-year-old woman with iatrogenic retinal artery occlusion (RAO) following glabella calcium hydroxylapatite (CaHA) injection, and to explore appropriate diagnostic and therapeutic measures according to a literature review.

Case presentation

A 32-year-old woman had left eye RAO and a bilateral visual field defect after CaHA injection into the glabella region. Topical and systemic intraocular pressure lowering agents, isovolemic hemodilution, globe massage, and anticoagulation with acetylsalicylic acid were prescribed. Carbogen inhalation and oral corticosteroids were also given. In addition to the above therapies, hyperbaric oxygen therapy (HBOT) was implemented as adjuvant treatment. The final best corrected visual acuity (BCVA) of the left eye improved from hand motion at 15 cm to 0.1. Improved retinal circulation and decreased retinal vessel leakage were found in the follow-up fluorescein angiography. However, there were still multiple emboli in the conjunctival and retinal arteries.

Conclusion

This is the first case report on partial recovery of BCVA after iatrogenic RAO following cosmetic CaHA injection. Because no reliable treatments have been reported for such complications, HBOT may be considered as an alternative adjuvant therapy.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2415/14/120/prepub

Title: Partial vision recovery after iatrogenic retinal artery occlusion
Authors: Shu-Fang Hsiao
Yi-Hsun Huang
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: BMC Ophthalmology / Issue 1/2014
Electronic ISSN: 1471-2415
DOI: https://doi.org/10.1186/1471-2415-14-120

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Partial vision recovery after iatrogenic retinal artery occlusion

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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