ĐIỀU TRỊ THÀNH CÔNG BIẾN CHỨNG MÙ MẮT DO TIÊM CHẤT LÀM ĐẦY THẨM MỸ: TRƯỜNG HỢP ĐẦU TIÊN Ở VIỆT NAM

Abstract

Introduction: With the global increase in the use ofinjectable hyaluronic acid (HA), more cases with serious complication are being reported. HA embolism leads to serious complications including blindness, eye and eyelid movement disorders, skin necrosis and cerebral embolism.However, there is a lack of robust clinical evidence regarding recovery vision due to embolisme of ophthalmic artery and central retinal artery. Patient and method: We present a case report of a patient who developed features of vascular involvement after one ml of HA filler injection in the nasal dorsum illegaly at Spa. The patient initially developedsevere pain and total vision loss in the right eye immediately by the time of injection. Result: She was managed emergency with multiple disciplinary therapy combined of general and local treatment including ocular massage, hyaluronidase intracutanous, retrobulbar injections and intra arterial thrombolysis for 2 periods consecutive of vision loss. Significantrecovery in the vision and skin, ophthalmic components occurred within 6 weeks. Conclusion: This case demonstrates that recovery of the vision, ischaemic ophthalmic and cutaneous due to embolism of central retinal artery could be accomplished using combined multiple disciplinary therapy and intra arterial thrombolysis injections of hyaluronidase.