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Oclusión de la arteria central de la retina tras inyección facial de ácido hialurónico

Institution:	1. Department of Microbiology and Immunology, University of North Carolina, Chapel Hill, NC 27599, United States;2. Department of Chemistry, University of North Carolina, Chapel Hill, NC 27599, United States;3. North Carolina Jaycee Burn Center, Department of Surgery, University of North Carolina, Chapel Hill, NC 27599, United States;1. Servicio de Oftalmología, Hospital Manises, Valencia, España;2. Servicio de Oftalmología Infantil, Hospital Universitario La Paz, Madrid, España;3. Instituto de Investigaciones Biomédicas Alberto Sols, Madrid, España;4. Servicio de Oftalmología, Hospital La Mancha Centro, Ciudad Real, España;1. Oculoplasty Services, K.B.H. Bachooali Charitable Ophthalmic and ENT Hospital, Mumbai, India;2. Pathology Services, Tata Memorial Hospital, Mumbai, India;1. Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, United States;2. Department of Ophthalmology, Duke University Medical Center, Durham, United States;3. Stein Eye Institute, University of California, Los Angeles, Los Angeles, United States;4. Doheny Eye Institute, University of California, Los Angeles, United States;1. The Retina Clinic London, Londres, Reino Unido;2. Escuela de doctorado de la Universidad de Valladolid, Valladolid, España;3. Instituto de Oftalmobiología Aplicada (IOBA), Universidad de Valladolid, Valladolid, España;4. Red de Cooperación en la Investigación en Oftalmología (Oftared), Instituto de Salud Carlos III, Madrid, España;5. Hospital Clínico Universitario de Valladolid, Valladolid, España

Abstract:	A 57-year-old woman with no premorbidities presented with symptoms of sudden painless vision loss in the right eye (RE). Best-corrected visual acuity in the RE was counting fingers to 10 cm. A relative afferent pupillary defect was observed in the RE. Ocular fundus examination of RE was suggestive of central retinal artery occlusion. Systemic evaluation was normal. The most interesting fact in this case is that a hemorrhagic edema in the right glabellar region was the basis for the diagnostic suspicion. The patient recognized the loss of vision 24 hours after hyaluronic acid injection as a facial rejuvenation treatment.

Keywords:	Retinal arterial occlusion Blindness Facial fillers Hyaluronic acid
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