Ipsilateral Ophthalmic and Cerebral Infarctions After Cosmetic Polylactic Acid Injection Into the Forehead. Issue 1 (March 2017)

• Record Type: Journal Article
• Authors: Ragam, Ashwinee; Agemy, Steven A.; Dave, Sarita B.; Khorsandi, Azita S.; Banik, Rudrani
• Other Names: McCulley Timothy J. section editor.
• Is Part Of: Journal of neuro-ophthalmology. Volume 37:Issue 1(2017:Mar.)
• Publication Date: 2017-03
• Subjects: Neuroophthalmology -- Periodicals; 617.7
• DOI: 10.1097/WNO.0000000000000459
• Languages: English
• ISSNs: 1070-8022

Abstract

Abstract : Abstract: A 55-year-old woman developed no light perception vision in her right eye 5 days after an injection of polylactic acid cosmetic filler into her right forehead. Diffuse corneal edema and anterior chamber inflammation prohibited any view to the posterior segment to identify the cause of her profound vision loss. MRI of the orbits with diffusion-weighted imaging showed hyperintensity of the right optic nerve with signal reduction on apparent diffusion coefficient mapping, consistent with ischemia. Our patient also was found to have acute infarctions in the distribution of the right anterior cerebral artery on MRI of the brain despite having no permanent focal neurologic deficits aside from vision loss.