Middle cerebral artery, ophthalmic artery, and multibranch retinal vessel occlusion after cosmetic autologous fat transfer to forehead

Danial Roshandel, Masoud Soheilian, Mohammad Pakravan, Sara Aghayan, Gholam A. Peyman

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

A 65-year-old woman with left hemiparesis and sudden loss of visual acuity in her right eye presented a few hours after cosmetic injection of autologous fat to her forehead. Right eye visual acuity was no light perception. Funduscopy revealed widespread retinal whitening and multibranch retinal vessel occlusion. Fluorescein angiography showed markedly delayed choroidal and retinal filling together with occlusion of multiple branches of retinal arteries and veins. On magnetic resonance imaging of the brain, multiple lesions compatible with recent infarction were detected. The authors diagnosed multibranch retinal artery and vein occlusion in the right ophthalmic and middle cerebral arteries due to fat emboli. This case emphasizes the need to reevaluate the safety of such aesthetic procedures, particularly in the facial zone to prevent devastating complications.

Original languageEnglish
Pages (from-to)593-596
Number of pages4
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume46
Issue number5
DOIs
Publication statusPublished - 1 May 2015
Externally publishedYes

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